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

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.