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Are elderly patients at high risk for postoperative complications after robotic ventral hernia repair? A propensity score matching analysis
Author(s) -
Kudsi Omar Yusef,
Gokcal Fahri,
La Grange Sara,
BouAyash Naseem,
Chang Karen
Publication year - 2020
Publication title -
the international journal of medical robotics and computer assisted surgery
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.556
H-Index - 53
eISSN - 1478-596X
pISSN - 1478-5951
DOI - 10.1002/rcs.2095
Subject(s) - propensity score matching , medicine , perioperative , surgery , complication , psychological intervention , psychiatry
Background The purpose of this study was to compare the elderly (≥65 years) and non‐elderly groups regarding perioperative outcomes after robotic ventral hernia repair (RVHR). Methods A one‐to‐one propensity score matching (PSM) analysis was conducted to obtain balanced groups. Postoperative complications including surgical site events (SSEs) (surgical site infections [SSIs], surgical site occurrences [SSOs], and surgical site occurrence procedural interventions [SSOPIs]) were compared. Results The unmatched sample included 521 patients. Of these, 139 patients were elderly (range 65‐94 years). After PSM, 98 patients were assigned to each group. Intraoperative variables were similar. The non‐elderly and elderly groups experienced similar complication rates during the first 90 days. SSEs (SSIs, SSOs, and SSOPIs) did not differ between the two groups. Conclusion RVHR is safe and efficacious for patients aged 65 and over. Age alone need not be a prohibitive factor in determining patient selection for RVHR; however, it would be more beneficial to take into consideration other patient‐related factors as well.