Robotic surgery in elderly patients with colorectal cancer: Review of the current literature  

作　　者：Nan Zun Teo James Chi Yong Ngu 

机构地区：[1]Department of General Surgery,Changi General Hospital,Singapore 529889,Singapore

出　　处：《World Journal of Gastrointestinal Surgery》2023年第6期1040-1047,共8页世界胃肠外科杂志（英文版）（电子版）

摘　　要：With an ageing global population,we will see an increasing number of elderly patients with colorectal cancer(CRC)requiring surgery.However,it should be recognized that the elderly are a heterogenous group,with varying physiological and functional status.While traditionally viewed to be associated with frailty,comorbidities,and a higher risk of post operative morbidity,the advancements in minimally invasive surgery(MIS)and improvements in perioperative care have allowed CRC surgery to be safe and feasible in the elderly-chronological age alone should therefore not strictly be an exclusion criterion for curative surgery.However,as a form of MIS,laparoscopic assisted colorectal surgery(LACS)has the inherent disadvantages of:(1)Dependence on a trained assistant for retraction and laparoscope control;(2)The loss of wristed movement with reduced dexterity and suboptimal ergonomics;(3)A lack of intuitive movement due to the levering effect of trocars;and(4)An amplification of physiological tremors.Representing a technical evolution of LACS,robotic assisted colorectal surgery was introduced to overcome these limitations.In this minireview,we examine the evidence for robotic surgery in the elderly with CRC.

关 键 词：Robotic surgery Minimally invasive surgery Colorectal cancer ELDERLY GERIATRIC FRAILTY 

分 类 号：R656[医药卫生—外科学]