Outcomes of robot-assisted pancreaticoduodenectomy in patients older than 70 years: a comparative study.
BACKGROUND
Minimally invasive pancreaticoduodenectomy (PD) remains one of the most challenging abdominal procedures and its application in the elderly population is poorly reported in the literature so far. The goal of this study was to demonstrate that robot-assisted PD can be safely performed in patients aged 70 years and older.


METHODS
Forty-one consecutive robot-assisted PD performed between April 2007 and January 2010 were prospectively entered in a dedicated database. Patients were stratified into two groups: group 1, aged > or =70 years (n = 15, 36.6%); and group 2, aged <70 years (n = 26, 63.4%). The data were reviewed retrospectively.


RESULTS
Indications for surgery and patient characteristics were the same in both groups, with the exception of age. There was no statistical difference in terms of operative time (P = 0.376), blood loss (P = 0.989), conversion rate (P = 0.52), mortality (P = 0.36), or overall morbidity rate (P = 0.74). The mean hospital stay was 14.3 days in group 1 and 11.2 days in group 2. This was not statistically significant (P = 0.136).


CONCLUSIONS
Robot-assisted pancreaticoduodenectomy can be performed safely in elderly patients with comparable mortality, morbidity, and outcomes compared with a younger population. Age alone should not be a contraindication for robotic pancreatic resection.
Division of General, Minimally Invasive and Robotic Surgery, Department of Surgery, University of Illinois at Chicago, 840 S. Wood Street, Suite 435 E, Chicago, IL 60612, USA. nicolas.c.buchs@hcuge.ch
Nicolas C
NC
Buchs
Pietro
P
Addeo
Francesco M
FM
Bianco
Antonio
A
Gangemi
Subhashini M
SM
Ayloo
Pier C
PC
Giulianotti
D000328:Adult; D000368:Aged; D015897:Comorbidity; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D010182:Pancreatic Diseases / Q000453:epidemiology / Q000601:surgery*; D010190:Pancreatic Neoplasms / Q000453:epidemiology / Q000601:surgery; D016577:Pancreaticoduodenectomy / Q000379:methods* / Q000401:mortality; D012371:Robotics; D016896:Treatment Outcome; D055815:Young Adult