Robotic Surgery in the Frail Elderly: Analysis of Perioperative Outcomes

Robotic Surgery in the Frail Elderly: Analysis of Perioperative Outcomes
Ann Surg Oncol 23 Apr 2020 doi: 10.1245/s10434-020-08475-w.

• Analysis of 982 patients (71 frail and 911 non-frail patients) from Memorial Sloan Kettering Cancer Center, New York, who underwent a robotic surgical procedure May 2007 - December 2016 confirms other research findings that the frail elderly have longer hospital stays and more complications after surgery than the general population.

Abstract

Robot‐assisted surgery in gynaecology

Robot‐assisted surgery in gynaecology
Cochrane Systematic Review 15 April 2019, DOI 10.1002/14651858.CD011422.pub2

• A systematic review of the literature concludes that evidence on the effectiveness and safety of robot‐assisted surgery (RAS) compared with conventional laparoscopic surgery (CLS) for non‐malignant disease (hysterectomy and sacrocolpopexy) is of low certainty but suggests that surgical complication rates might be comparable. Evidence on the effectiveness and safety of RAS compared with CLS or open surgery for malignant disease is more uncertain because survival data are lacking. 
• RAS is an operator‐dependent expensive technology; therefore evaluating the safety of this technology independently will present challenges.