老年患者的机器人辅助微创肝脏手术：一项单中心、倾向评分匹配研究。
Robot-assisted minimally invasive liver surgery in elderly patients: A single-centre, propensity score- matched study.
作者信息
Fukumori Daisuke, Tschuor Christoph, Penninga Luit, Hillingsø Jens, Svendsen Lars Bo, Larsen Peter Nørgaard
机构信息
Department of Surgery and Transplantation, Rigshospitalet, Copenhagen University Hospital, Copenhagen, Denmark.
CAMES, University of Copenhagen, Copenhagen, Denmark.
出版信息
Int J Med Robot. 2023 Jul 31:e2556. doi: 10.1002/rcs.2556.
BACKGROUND
The aim was to evaluate the short-term results of robot-assisted minimally invasive liver surgery(Robot-assisted liver surgery (RLS)) in elderly patients.
METHODS
Between November 2019 and July 2022, RLS was performed on 100 consecutive patients. Patients were divided into a middle-aged group (Group1:＜75years) and an elderly group(Group2:≧75years). A propensity score matching(PSM) analysis with a ratio of 1:1 was performed.
RESULTS
After PSM, there were 28 patients in each group. There were no significant differences in clinicopathologic characteristics, type of resection and intraoperative variables. Postoperative complications and length of hospital stay were comparable in Groups 1 and 2. In a comparison between minor and major hepatectomy in Group 2, there were no significant differences in any of the factors.
CONCLUSIONS
The study showed that RLS for patients over 75years had similar short-term outcomes as for younger patients down to middle-aged, especially the risk of perioperative complications was comparable.
背景
本研究旨在评估机器人辅助微创肝脏手术（机器人辅助肝切除术（RLS））在老年患者中的短期疗效。
方法
2019年11月至2022年7月期间，连续对100例患者实施了机器人辅助肝切除术。患者被分为中年组（第1组：年龄＜75岁）和老年组（第2组：年龄≥75岁）。进行了1:1比例的倾向评分匹配（PSM）分析。
结果
倾向评分匹配后，每组各有28例患者。两组患者的临床病理特征、切除类型和术中变量无显著差异。第1组和第2组的术后并发症和住院时间相当。在第2组的小范围肝切除术和大范围肝切除术的比较中，各项因素均无显著差异。
结论
该研究表明，75岁以上患者接受机器人辅助肝切除术的短期疗效与中年及以下的年轻患者相似，尤其是围手术期并发症风险相当。
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