Current opinion on laparoscopic surgery in gynecologic oncology: challenges and advances in elderly patients.

IF 2.8 4区医学 Q2 ONCOLOGY

Current Opinion in Oncology Pub Date : 2025-07-07 DOI:10.1097/CCO.0000000000001175

Carmen Rodríguez-Rubio, Alvaro Tejerizo, Blanca Gil-Ibáñez

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引用次数: 0

Abstract

Purpose of review: As the global population ages rapidly, there is an increasing need to address the particular challenges faced by elderly women with gynecological cancers. This review focuses on the role of laparoscopic surgery (LPS) and highlights its benefits, limitations, and future directions in this vulnerable population. By examining recent findings, this study provides timely insights into the application of minimally invasive surgical techniques in the elderly.

Recent findings: Current literature underscores the benefits of LPS, including reduced blood loss, shorter hospital stays, and fewer postoperative complications, making it a viable option for elderly patients. However, challenges such as frailty, comorbidities, and the physiological effects of pneumoperitoneum remain significant. Advances in frailty assessment tools, enhanced recovery after surgery (ERAS) protocols, and robotic-assisted surgery (RAS) are transforming preoperative planning and surgical outcomes.

Summary: Laparoscopic surgery offers considerable advantages for elderly women with gynecologic cancers, balancing oncologic efficacy with reduced perioperative morbidity. Future research must focus on inclusive trials and geriatric-specific guidelines to optimize outcomes and broaden the applicability of minimally invasive techniques in this population.

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目前对妇科肿瘤腹腔镜手术的看法：老年患者的挑战与进展。

综述目的：随着全球人口迅速老龄化，越来越需要解决老年妇女妇科癌症患者面临的特殊挑战。本文综述了腹腔镜手术（LPS）的作用，并强调了其在这一弱势群体中的益处、局限性和未来发展方向。通过检查最近的发现，本研究为微创手术技术在老年人中的应用提供了及时的见解。最新发现：目前的文献强调LPS的好处，包括减少失血，缩短住院时间，减少术后并发症，使其成为老年患者的可行选择。然而，诸如虚弱、合并症和气腹的生理影响等挑战仍然显著。虚弱评估工具、增强术后恢复（ERAS）方案和机器人辅助手术（RAS）的进步正在改变术前计划和手术结果。总结：腹腔镜手术对老年女性妇科癌症患者具有相当大的优势，既能平衡肿瘤疗效，又能降低围手术期发病率。未来的研究必须集中在包容性试验和老年特异性指南上，以优化结果并扩大微创技术在这一人群中的适用性。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Current Opinion in Oncology 医学-肿瘤学

CiteScore

6.10

自引率

2.90%

发文量

130

审稿时长

4-8 weeks

期刊介绍： With its easy-to-digest reviews on important advances in world literature, Current Opinion in Oncology offers expert evaluation on a wide range of topics from sixteen key disciplines including sarcomas, cancer biology, melanoma and endocrine tumors. Published bimonthly, each issue covers in detail the most pertinent advances in these fields from the previous year. This is supplemented by annotated references detailing the merits of the most important papers.