ArticleAnnals of medicine and surgery (2012)2015
Do elderly patients have the most to gain from laparoscopic surgery?
Article in Annals of medicine and surgery (2012), 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers, 1 of them a synthesis that pooled it.
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Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
10 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Work-Related Musculoskeletal Disorders in Endoscopic Sinus and Skull Base Surgery: A Systematic Review With Meta-analysis.Otolaryngology--head and neck surgery : official journal of American Academy of Otolaryngology-Head and Neck Surgery · 2024Pooled it
- Propensity-score-matched 30-day outcomes of laparoscopic compared to open colectomy in patients with severe chronic obstructive pulmonary disease: an ACS-NSQIP cohort analysis.Surgical endoscopy · 2026Article
- Laparoscopic versus open liver resection in patients aged at least 80 years: retrospective propensity score-matched cohort study.BJS open · 2025Article
- Association between SII and postoperative pulmonary infection in elderly patients undergoing laparoscopic abdominal surgery.Frontiers in medicine · 2025Article
- Article
- Comparison of short-term outcomes and survival between minimally invasive colectomy and open colectomy in patients 80 years of age and older.Journal of robotic surgery · 2023Article
- What Should We Recommend for Colorectal Cancer Screening in Adults Aged 75 and Older?Current oncology (Toronto, Ont.) · 2021Review
- Propensity score-matching analysis comparing laparoscopic and open pancreaticoduodenectomy in elderly patients.Scientific reports · 2019Article
- Minimally invasive versus open surgery in the Medicare population: a comparison of post-operative and economic outcomes.Surgical endoscopy · 2018Article
- Laparoscopic cholecystectomy in patients aged 60 years and over - our experience.Journal of medicine and lifeArticle
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
2 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Populations are aging worldwide, people are living longer, and the surgical needs of elderly patients are rising. Laparoscopic techniques have become more common with improved training, surgeon skill and evidence of improved outcomes. Benefits of laparoscopy include decreased blood loss, postoperative pain, and hospital length of stay; improved mobilization, quicker return to normal activity; and fewer pulmonary, thrombotic, and abdominal wall complications. Indeed, for many common pathologies laparoscopy has become the gold standard, unless contraindicated. It has been questioned as to whether elderly patients can reap the same benefits from laparoscopic surgery. The concern in elderly patients is that physiologic demands may outweigh the benefit seen in younger patients. This question stems from concerns related to longer operative times, increased technical challenge, as well as the impact of physiologic demands of pneumoperitoneum and patient positioning. However, with anesthesia and adequate perioperative cardiac care, there is no evidence that these factors lead to worse clinical outcomes in elderly patients. In contrast, perhaps elderly patients - with increased prevalence of multi-morbidity, geriatric syndromes and diminished physiologic reserve - have the most to gain from a laparoscopic approach.
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