Laparoscopic and robotic surgery for colorectal cancer in older patients: a systematic review and meta-analysis.
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Authors
Ammirati, Carlo Alberto
Passera, Roberto
Beltrami, Elsa
Peluso, Chiara
Francis, Nader
Arezzo, Alberto
Issue Date
2024-06-30
Type
Journal Article
Review
Review
Language
en
Keywords
Colorectal surgery , minimally invasive techniques , older patients
Alternative Title
Abstract
Introduction: As life expectancy has been increasing, older patients are becoming more central to the healthcare system, leading to more intensive care use and longer hospital stays. Nevertheless, advancements in minimally invasive surgical techniques offer safe and effective options for older patients with colorectal diseases. This study aims to provide comprehensive evidence on the role of minimally invasive surgery in treating colorectal diseases in older patients. Material and methods: All articles directly compared the minimally invasive approach with open surgery in patients aged ≥65 years. The present metanalysis took 30-day complications as primary outcomes. Length of hospital stay, readmission, and 30-day mortality were also assessed, as secondary outcomes. Further subgroup analyses were carried out based on surgery setting, lesion features, and location. Results: After searching the main databases, 84 articles were included. Evaluation of 30-day complications rate, length of hospital stay, and 30-day mortality significantly favored minimally invasive approaches. The outcome readmission did not show any significant difference. Conclusions: The current metanalysis demonstrates clear advantages of minimally invasive techniques over open surgery in colorectal procedures for older patients, particularly in reducing complications, mortality, and hospitalization. This suggests that prioritizing these techniques, based on available expertise and facilities, could improve outcomes and quality of care for older patients undergoing colorectal surgery.
Description
Citation
Ammirati, CA.; Passera, R.; Beltrami, E.; Peluso, C.; Francis, N. and Arezzo, A. (2024) 'Laparoscopic and robotic surgery for colorectal cancer in older patients: a systematic review and meta-analysis', Minimally Invasive Therapy & Allied Technologies. Available at: https://doi.org/10.1080/13645706.2024.2360094
Publisher
Taylor and Francis
License
Journal
Minimally invasive therapy & allied technologies : MITAT : official journal of the Society for Minimally Invasive Therapy
Volume
Issue
PubMed ID
ISSN
1365-2931