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1000 Titel
  • Robotic-assisted pancreatic surgery in the elderly patient: experiences from a high-volume centre
1000 Autor/in
  1. Hillebrandt, Karl H. |
  2. Knitter, Sebastian |
  3. Timmermann, Lea |
  4. Felsenstein, Matthäus |
  5. Benzing, Christian |
  6. Schmelzle, Moritz |
  7. Pratschke, Johann |
  8. Malinka, Thomas |
1000 Erscheinungsjahr 2021
1000 Publikationstyp
  1. Artikel |
1000 Online veröffentlicht
  • 2021-12-09
1000 Erschienen in
1000 Quellenangabe
  • 21(1):415
1000 Copyrightjahr
  • 2021
1000 Lizenz
1000 Verlagsversion
  • https://doi.org/10.1186/s12893-021-01395-w |
  • https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8662827/ |
1000 Publikationsstatus
1000 Sprache der Publikation
1000 Abstract/Summary
  • 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 and shows non-inferiority when compared with younger patients. However, prospectively collected data is needed to define the role of RPS in elderly patients accurately. Trial registration Clinical Trial Register: Deutschen Register Klinischer Studien (DRKS; German Clinical Trials Register). Clinical Registration Number: DRKS00017229 (retrospectively registered, Date of Registration: 2019/07/19, Date of First Enrollment: 2017/10/18).
1000 Sacherschließung
lokal Aged [MeSH]
lokal Laparoscopy [MeSH]
lokal Pancreatic surgery
lokal Humans [MeSH]
lokal Postoperative Complications/epidemiology [MeSH]
lokal Retrospective Studies [MeSH]
lokal Robotic-assisted pancreatic surgery
lokal Morbidity [MeSH]
lokal Research
lokal Robotic Surgical Procedures [MeSH]
lokal Conversion to Open Surgery [MeSH]
lokal Length of Stay [MeSH]
lokal Elderly patients
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  1. https://frl.publisso.de/adhoc/uri/SGlsbGVicmFuZHQsIEthcmwgSC4=|https://frl.publisso.de/adhoc/uri/S25pdHRlciwgU2ViYXN0aWFu|https://frl.publisso.de/adhoc/uri/VGltbWVybWFubiwgTGVh|https://frl.publisso.de/adhoc/uri/RmVsc2Vuc3RlaW4sIE1hdHRow6R1cw==|https://frl.publisso.de/adhoc/uri/QmVuemluZywgQ2hyaXN0aWFu|https://frl.publisso.de/adhoc/uri/U2NobWVsemxlLCBNb3JpdHo=|https://frl.publisso.de/adhoc/uri/UHJhdHNjaGtlLCBKb2hhbm4=|https://frl.publisso.de/adhoc/uri/TWFsaW5rYSwgVGhvbWFz
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1000 Erstellt am 2023-04-26T18:52:20.430+0200
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