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Poster Display session 2

3050 - Feasibility of robot-assisted surgery in elderly patients with rectal cancer

Date

29 Sep 2019

Session

Poster Display session 2

Topics

Tumour Site

Colon and Rectal Cancer

Presenters

Wei-Chih Su

Citation

Annals of Oncology (2019) 30 (suppl_5): v198-v252. 10.1093/annonc/mdz246

Authors

W. Su1, C. Huang1, C. Ma1, C. Po-Jung1, H. Tsai1, T. Chang1, Y. Chen1, C. Li1, Y. Yeh2, J. Wang1

Author affiliations

  • 1 Department Of Surgery, Division Of Colorectal Surgery, Kaoshiung Medical University Hospital, 807 - Kaohsiung City/TW
  • 2 Surgery, Kaohsiung Medical University Hospital, 807 - Kaohsiung City/TW

Resources

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Abstract 3050

Background

Although surgical resection is the main treatment for rectal cancer, the optimal surgical protocol for elderly patients with rectal cancer remains controversial. Robot-assisted surgery has the following advantages: smaller wounds, less blood loss, quicker recovery, early recovery, and high rate of anal preservation. This study evaluated the feasibility of robot-assisted surgery in elderly patients with rectal cancer.

Methods

This retrospective study enrolled 125 patients aged 28–93 years diagnosed with stage I–III rectal cancer who underwent robot-assisted surgery between May 2013 and April 2018 in a single institution.

Results

In total, 125 patients with rectal cancer, including 100 nonelderly (aged <70 years) and 25 elderly (aged ≥70 years) patients, who underwent robot-assisted surgery were recruited. Between the patient groups, the incidence of overall postoperative complications and postoperative length of hospital stay did not differ significantly (p = 0.930 and 0.095, respectively). No surgical related deaths were noted. The disease-free and overall survival did not differ significantly between the 2 groups (p = 0.610 and 0.298, respectively).

Conclusions

Robot-assisted surgery for rectal cancer is an appropriate approach that is well tolerated in elderly patients, with similar results as for the non-elderly patients. Oncological outcomes, including postoperative complications and survival, did not depend on patient age. Thus, in elderly patients, robot-assisted surgery is a safe and feasible surgical modality for treating operable rectal cancer and leads to age-independent postoperative outcomes.

Clinical trial identification

Editorial acknowledgement

Legal entity responsible for the study

Wei-Chih Su.

Funding

Kaohsiung Medical University Hospital.

Disclosure

All authors have declared no conflicts of interest.

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