Robotic Major Hepatectomy in Elderly Patient.

Simple Summary: Robotic liver surgery is becoming the future of minimally invasive surgery, overcoming the intrinsic limitations of laparoscopic surgery and allowing the execution of highly complex procedures such as major hepatectomies. Despite these advantages, up to now, no evidence of benefits associated with the robotic approach in liver surgery has been clearly defined in the literature. Data from a multicentric retrospective database including 131 major liver resections in nine European hospital centers were analyzed. The patients were divided into two groups based on age: elderly and young. Perioperative data were compared between the two groups. The aim of this study was to analyze the feasibility and safety of robotic major liver resection in elderly patients. Background: 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. Methods: 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. Results: 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. Conclusions: robotic major liver resection in elderly patients was associated with satisfying short-term outcomes. [ABSTRACT FROM AUTHOR]