Delvecchio Antonella, Conticchio Maria, Inchingolo Riccardo, Ratti Francesca, Magistri Paolo, Belli Andrea, Ceccarelli Graziano, Izzo Francesco, Spampinato Marcello Giuseppe, Angelis Nicola De', Pessaux Patrick, Piardi Tullio, Di Benedetto Fabrizio, Aldrighetti Luca, Memeo Riccardo
Unit of Hepato-Biliary and Pancreatic Surgery, "F. Miulli" General Hospital, Acquaviva delle Fonti, 70021 Bari, Italy.
Unit of Interventional Radiology, "F. Miulli" General Hospital, Acquaviva delle Fonti, 70021 Bari, Italy.
Cancers (Basel). 2024 May 30;16(11):2083. doi: 10.3390/cancers16112083.
the role of minimally invasive liver surgery has been progressively developed, with the practice increasing in safety and feasibility also with respect to major liver resections. The aim of this study was to analyze the feasibility and safety of major liver resection in elderly patients.
data from a multicentric retrospective database including 1070 consecutive robotic liver resections in nine European hospital centers were analyzed. Among these, 131 were major liver resections. Patients were also divided in two groups (<65 years old and ≥65 years old) and perioperative data were compared between the two groups.
a total of 131 patients were included in the study. Operative time was 332 ± 125 min. Postoperative overall complications occurred in 27.1% of patients. Severe complications (Clavien Dindo ≥ 3) were 9.9%. Hospital stay was 6.6 ± 5.3 days. Patients were divided into two groups based on their age: 75 patients < 65 years old and 56 patients ≥ 65 years old. Prolonged pain, lung infection, intensive care stay, and 90-day readmission were worse in the elderly group. The two groups were matched for ASA and Charlson comorbidity score and, after statistical adjustment, postoperative data were similar between two groups.
robotic major liver resection in elderly patients was associated with satisfying short-term outcomes.
微创肝脏手术的作用已逐步发展，在主要肝脏切除方面的安全性和可行性也不断提高。本研究的目的是分析老年患者进行主要肝脏切除的可行性和安全性。
分析了一个多中心回顾性数据库的数据，该数据库包含欧洲9个医院中心连续进行的1070例机器人肝脏切除术。其中，131例为主要肝脏切除术。患者也被分为两组（<65岁和≥65岁），并比较两组的围手术期数据。
本研究共纳入131例患者。手术时间为332±125分钟。27.1%的患者发生术后总体并发症。严重并发症（Clavien Dindo≥3级）为9.9%。住院时间为6.6±5.3天。根据年龄将患者分为两组：75例<65岁的患者和56例≥65岁的患者。老年组的疼痛持续时间、肺部感染、重症监护停留时间和90天再入院情况更差。两组在ASA和Charlson合并症评分方面相匹配，经过统计调整后，两组术后数据相似。
老年患者机器人主要肝脏切除术的短期结果令人满意。
