Trends and outcomes of minimally invasive hysterectomy among older women

Life expectancy of women in the United States has increased by almost a decade in the last 70 years, and this trend is expected to continue, reaching 83.3 years by 2030, leading to increasing healthcare demands for the older population. This study examines trends in the rates of minimally invasive hysterectomy among women aged 75 years or more and risk factors for postoperative complications, using the American College of Surgeons National Surgical Quality Improvement Program database from 2012 to 2022. The rate of minimally invasive hysterectomy increased by 50 % during this decade, associated with low postoperative complication rates of 5.9 %. Complications and readmissions were associated with chronic obstructive pulmonary disease and prolonged operative times. Compared with younger cohorts, this older cohort of patients had fewer postoperative complications. Preoperative optimization may improve outcomes further.