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Robotic-assisted Pancreatic Surgery in the Elderly Patient: Experiences from a High-volume Centre by Karl H. Hillebrandt; Sebastian Knitter; Lea Timmermann; Matthäus Felsenstein; Christian Benzing; Moritz Schmelzle; Johann Pratschke; Thomas Malinka is a Medicine article available to read on EtoBox.

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## Background: Robotic-assisted pancreatic surgery (rps) has fundamentally developed over the past few years. for subgroups, e.g. elderly patients, applicability and safety of rps still needs to be defined. given prognosticated demographic developments, we aim to assess the role of rps based on preoperative, operative and postoperative parameters. ## Methods: We included 129 patients undergoing rps at our institution between 2017 and 2020. eleven patients required conversion to open surgery and were excluded from further analysis. we divided patients into two groups; ≥ 70 years old (group 1; n = 32) and < 70 years old (group 2; n = 86) at time of resection. ## Results: Most preoperative characteristics were similar in both groups. however, number of patients with previous abdominal surgery was significantly higher in patients ≥ 70 years old (78% vs 37%, p < 0.0001). operative characteristics did not significantly differ between both groups. although patients ≥ 70 years old stayed significantly longer at icu (1.8 vs 0.9 days; p = 0.037), length of hospital stay and postoperative morbidity were equivalent between the groups. ## Conclusion: Rps is safe and feasible in elderly patients

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Author

Karl H. Hillebrandt; Sebastian Knitter; Lea Timmermann; Matthäus Felsenstein; Christian Benzing; Moritz Schmelzle; Johann Pratschke; Thomas Malinka

Published

2021

Language

EN

Field

Medicine (Health Sciences)