How Old Is Too Old? Safety of Minimally Invasive Gynecologic Surgery and Early Hospital Discharge in Elderly Women

Sarah H. Kim, Melissa K. Frey, Nigel Madden, Kelsey Musselman, Jing Yi Chern, Jessica Lee, Leslie R. Boyd, Stephanie V. Blank, Bhavana Pothuri, John P. Curtin

Research output: Contribution to journalArticle

Abstract

Objective: With the increasing age of the population, more elderly women undergo gynecologic surgery. While multiple studies have demonstrated the advantages of minimally invasive surgery (MIS), there is a paucity of data regarding MIS in elderly women. This study was performed to evaluate outcomes among elderly women undergoing gynecologic MIS. Materials and Methods: For this retrospective cohort study, medical records were reviewed for patients ≥65 years old who underwent MIS performed by gynecologic oncologists at a single institution between 2009 and 2016. Outcomes among "younger-elderly" (ages 65-79) and "older elderly" (≥ age 80) patients were compared. Results: Two-hundred and ninety-eight patients, age ≥65, underwent MIS (younger-elderly = 268; older-elderly = 29). The median age in the younger-elderly was 69 (range: 65-79) and, in the older-elderly patients, 83 (range: 80-93). The older-elderly had more medical comorbidities than the younger-elderly patients (median Charlson index: 7 versus 5; p < 0.001). There was no significant difference between the 2 groups with respect to surgical approach, underlying malignancy, conversion to laparotomy, and hospital stay. There was also no significant difference between the younger- and older-elderly patients in rates of complications, or in 30- and 90-day readmissions. Conclusions: MIS with early discharge is a safe approach in elderly patients undergoing surgery performed by gynecologic oncologists. Elderly age should not prohibit consideration of MIS with early hospital discharge.

Original languageEnglish (US)
Pages (from-to)85-88
Number of pages4
JournalJournal of Gynecologic Surgery
Volume35
Issue number2
DOIs
StatePublished - Apr 2019
Externally publishedYes

Keywords

  • early discharge
  • elderly
  • Minimally invasive surgery

ASJC Scopus subject areas

  • Surgery
  • Obstetrics and Gynecology

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    Kim, S. H., Frey, M. K., Madden, N., Musselman, K., Chern, J. Y., Lee, J., Boyd, L. R., Blank, S. V., Pothuri, B., & Curtin, J. P. (2019). How Old Is Too Old? Safety of Minimally Invasive Gynecologic Surgery and Early Hospital Discharge in Elderly Women. Journal of Gynecologic Surgery, 35(2), 85-88. https://doi.org/10.1089/gyn.2018.0100