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Nakamura LY, Nunez RN, Andrews PE, et al. Older age does not impact perioperative complications after robot-assisted radical prostatectomy. J Robot Surg. 2011;5(3):201-8doi: 10.1007/s11701-011-0251-1.
Nakamura, L. Y., Nunez, R. N., Andrews, P. E., Ferrigni, R. G., Humphreys, M. R., Swanson, S. K., Wolter, C. E., & Castle, E. P. (2011). Older age does not impact perioperative complications after robot-assisted radical prostatectomy. Journal of robotic surgery, 5(3), 201-8. https://doi.org/10.1007/s11701-011-0251-1
Nakamura, Leah Y, et al. "Older age does not impact perioperative complications after robot-assisted radical prostatectomy." Journal of robotic surgery vol. 5,3 (2011): 201-8. doi: https://doi.org/10.1007/s11701-011-0251-1
Nakamura LY, Nunez RN, Andrews PE, Ferrigni RG, Humphreys MR, Swanson SK, Wolter CE, Castle EP. Older age does not impact perioperative complications after robot-assisted radical prostatectomy. J Robot Surg. 2011 Sep;5(3):201-8. doi: 10.1007/s11701-011-0251-1. Epub 2011 Feb 05. PMID: 27637708.
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J Robot Surg. 2011 Sep;5(3):201-8. doi: 10.1007/s11701-011-0251-1. Epub 2011 Feb 05.

Older age does not impact perioperative complications after robot-assisted radical prostatectomy.

Journal of robotic surgery

Leah Y Nakamura, Rafael N Nunez, Paul E Andrews, Robert G Ferrigni, Mitchell R Humphreys, Scott K Swanson, Christopher E Wolter, Erik P Castle

Affiliations

  1. Department of Urology, Mayo Clinic Arizona, 5777 East Mayo Blvd, Phoenix, AZ, 85054, USA. [email protected].
  2. Department of Urology, Mayo Clinic Arizona, 5777 East Mayo Blvd, Phoenix, AZ, 85054, USA.

PMID: 27637708 DOI: 10.1007/s11701-011-0251-1

Abstract

To determine whether men aged 70 years and older had more perioperative complications after robot-assisted radical prostatectomy (RARP) compared with younger patients, a retrospective review was performed on patients who underwent RARP between March 2004 and September 2009. Subjects were stratified according to age into four groups (age 30-49, 50-59, 60-69, and ≥70 years). American Society of Anesthesiologists (ASA) scores were obtained. Complication rates in the perioperative period, transfusion rates, and length of stay were compared. Complications were classified using the previously validated Clavien system. There were a total of 293 patients aged 70 years and older amongst the 1,223 total subjects. ASA comorbidity scores did vary significantly amongst the different age groups, and there was modest correlation noted between ASA and age. There was no statistically significant difference amongst complication rates in men aged 70 years and older (15%) compared with the other cohorts (P = 0.832). There was also no significant difference in transfusion rates (P = 0.170) or length of stay (P = 0.131). Patients with higher ASA scores (ASA 3-4) had more Clavien I-II complications compared with patients with ASA scores of 1-2 (15.5% versus 10.3%, P = 0.03). There was no difference in transfusion rates or length of stay between the ASA scores. There are no more complications in men aged 70 years and older compared with men <70 years of age undergoing robot-assisted radical prostatectomy. RARP is a safe treatment option to offer to the selected elderly patient.

Keywords: Complications; Elderly; Prostatectomy; Robot

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