@Article{,
AUTHOR = {Antonio Cusano, Peter Haddock, Ilene Staff, Max Jackson, 
Fernando Abarzua-Cabezas, Ryan Dorin, Anoop Meraney, 
Joseph Wagner, Steven Shichman, Stuart Kesler},
TITLE = {Surgical complications associated with robotic urologic procedures in elderly patients},
JOURNAL = {Canadian Journal of Urology},
VOLUME = {22},
YEAR = {2015},
NUMBER = {1},
PAGES = {7607--7613},
URL = {http://www.techscience.com/CJU/v22n1/61299},
ISSN = {1488-5581},
ABSTRACT = {<b>Introduction:</b> Urologic malignancies are often diagnosed at an older age, and are increasingly managed utilizing robotic-assisted surgical techniques. As such, we assessed and compared peri-postoperative complication rates following robotic urologic surgery in elderly and younger patients.
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<b>Materials and methods:</b> A retrospective analysis of IRB-approved databases and electronic medical records identified patients who underwent robotic-assisted urologic surgery between December 2003-September 2013. Patients were grouped according to surgical procedure (partial nephrectomy, radical cystectomy, radical prostatectomy) and age at surgery (≤74 or ≥75 years old). Associations between age, comorbidities, Charlson comorbidity index (CCI), and patient outcomes were evaluated within each surgery type.
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<b>Results:</b> 97.5% and 2.5% of patients were ≤74 or ≥75 years old, respectively. Cystectomies, partial nephrectomies and prostatectomies accounted for 3.5%, 9.5% and 87.1% of surgeries, respectively. Within cystectomy, nephrectomy and prostatectomy groups, 24.4%, 12.5% and 0.6% patients were ≥75 years old.
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Within each surgical type, elderly patients had significantly elevated CCI scores. Length of stay was significantly prolonged in elderly patients undergoing partial nephrectomy or prostatectomy.
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In elderly cystectomy, partial nephrectomy and prostatectomy patients, 36.7%, 14.3% and 5.9% suffered ≥1 Clavien grade 3-5 complication, respectively. Major complications were not significantly different between age groups. A qualitatively similar pattern was observed regarding Clavien grade 1-2 complications.
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<b>Conclusions:</b> The risks of robotic-assisted urologic surgery in elderly patients are not significantly elevated compared to younger patients.},
DOI = {}
}