Comparison of short-term outcomes and survival between minimally invasive colectomy and open colectomy in patients 80 years of age and older

J Robot Surg. 2023 Aug;17(4):1857-1865. doi: 10.1007/s11701-023-01575-1. Epub 2023 Apr 6.


We investigated the short- and long-term outcomes of patients 80 years of age and older with colon cancer who underwent robotic colectomy versus laparoscopic colectomy. Data for patients treated at a comprehensive cancer center between January 2006 and November 2018 were collected retrospectively. Outcomes from minimally invasive laparoscopic or robotic colectomy were compared. Survival was analyzed by the Kaplan-Meier method with significance evaluated by the log-rank test. The laparoscopic (n = 104) and the robotic (n = 75) colectomy groups did not differ across baseline characteristics. Patients who underwent a robotic colectomy had a shorter median length of hospital stay (5 versus 6 days; p < 0.001) and underwent fewer conversions to open surgery (3% versus 17%; p = 0.002) compared to the laparoscopic cohort. The groups did not differ in postoperative complication rates, overall survival or disease-free survival. Elderly patients undergoing robotic colectomy for colon cancer have a shorter hospital stay and lower rates of conversion without compromise to oncologic outcomes.

Keywords: Colectomy; Colon cancer; Elderly; Geriatric surgery; Laparoscopic colectomy; Robotic colectomy.

Publication types

  • Letter

MeSH terms

  • Aged
  • Colectomy / methods
  • Colonic Neoplasms* / surgery
  • Humans
  • Laparoscopy* / methods
  • Length of Stay
  • Postoperative Complications / etiology
  • Retrospective Studies
  • Robotic Surgical Procedures* / methods
  • Robotics*
  • Treatment Outcome