RERAS - robotic colorectal resections and ERAS® in older adults: optimizing recovery or adding complexity?
Purpose: Robot-assisted surgery (RAS) has established itself as a minimally invasive approach in colorectal surgery, although evidence on its integration with Enhanced Recovery After Surgery (ERAS®) protocols in older patients remains limited. This study aims to describe short-term outcomes of RAS c...
Gespeichert in:
| Hauptverfasser: | , , , , , |
|---|---|
| Dokumenttyp: | Article (Journal) |
| Sprache: | Englisch |
| Veröffentlicht: |
03 December 2025
|
| In: |
Frontiers in Surgery
Year: 2025, Jahrgang: 12, Pages: 1-9 |
| ISSN: | 2296-875X |
| DOI: | 10.3389/fsurg.2025.1638414 |
| Online-Zugang: | Verlag, kostenfrei, Volltext: https://doi.org/10.3389/fsurg.2025.1638414 Verlag, kostenfrei, Volltext: https://www.frontiersin.org/journals/surgery/articles/10.3389/fsurg.2025.1638414/full 
|
| Verfasserangaben: | M. El-Ahmar, J. Hardt, C. Reissfelder, J.-P. Ritz, F. Peters and S. Seyfried |
MARC
| LEADER | 00000caa a2200000 c 4500 | ||
|---|---|---|---|
| 001 | 1951326091 | ||
| 003 | DE-627 | ||
| 005 | 20260210090723.0 | ||
| 007 | cr uuu---uuuuu | ||
| 008 | 260206s2025 xx |||||o 00| ||eng c | ||
| 024 | 7 | |a 10.3389/fsurg.2025.1638414 |2 doi | |
| 035 | |a (DE-627)1951326091 | ||
| 035 | |a (DE-599)KXP1951326091 | ||
| 040 | |a DE-627 |b ger |c DE-627 |e rda | ||
| 041 | |a eng | ||
| 084 | |a 33 |2 sdnb | ||
| 100 | 1 | |a El-Ahmar, Mohamad |d 1988- |e VerfasserIn |0 (DE-588)1372294694 |0 (DE-627)1931691991 |4 aut | |
| 245 | 1 | 0 | |a RERAS - robotic colorectal resections and ERAS® in older adults |b optimizing recovery or adding complexity? |c M. El-Ahmar, J. Hardt, C. Reissfelder, J.-P. Ritz, F. Peters and S. Seyfried |
| 264 | 1 | |c 03 December 2025 | |
| 300 | |a 9 | ||
| 336 | |a Text |b txt |2 rdacontent | ||
| 337 | |a Computermedien |b c |2 rdamedia | ||
| 338 | |a Online-Ressource |b cr |2 rdacarrier | ||
| 500 | |a Veröffentlicht: 03. Dezember 2025 | ||
| 500 | |a Gesehen am 06.02.2026 | ||
| 520 | |a Purpose: Robot-assisted surgery (RAS) has established itself as a minimally invasive approach in colorectal surgery, although evidence on its integration with Enhanced Recovery After Surgery (ERAS®) protocols in older patients remains limited. This study aims to describe short-term outcomes of RAS combined with a perioperative treatment according to the ERAS® protocols in patients ≥70 years. Methods: This retrospective analysis of a prospectively maintained database includes all patients aged ≥70 years who underwent robotic colorectal resections at two German colorectal cancer centers between January 2019 and April 2024, managed perioperatively according to the ERAS® protocols. Primary endpoints were the patients' short-term perioperative outcomes, including duration of surgery, conversion rate, postoperative Intermediate-Care-Unit (IMC) admission, postoperative complications according to Clavien-Dindo, anastomotic leak and reoperation rate, length of hospital stay, and compliance to ERAS® guidelines. Results are presented descriptively without a comparator arm. Results: A total of 161 patients (99 colon resections and 62 rectal resections) were included over the study period. Median duration of surgery was 153 (IQR: 130-197) minutes for colon and 243 (IQR: 120-467) minutes for rectal resections. Conversion rates were 1% and 4.8% respectively. Postoperative IMC admission was required in 9.1% (9 Patients) after colon and 12.9% (8 Patients) after rectal-resections, based on individual clinical assesement. Anastomotic leaks occurred in 7 cases (7%) following colon resections, with a total reoperation rate of 10%. Among rectal resections, the anastomotic leakage rate was 9.7% (6 cases) with a total reoperation rate of 16.1%. ERAS® compliance was 91.3% for colon- and 85% for rectal resections. Within the rectal cohort, postoperative complications were associated with a substantially lower perioperative ERAS® compliance compared to patients without complications (73.3% vs. 90.7%). Hospital stay was 5 days (IQR: 4-6 days) for colon- and 6 days (IQR: 5-11 days) for rectal resections. The 30-day readmission rate was 4% (4 cases) for colon and 8% (5 cases) for rectal resections. Conclusion: The integration of RAS colorectal surgery within ERAS® protocols appears feasible and is associated with acceptable short-term outcomes in elderly and comorbid patients. Nonetheless, these results should be interpreted as descriptive observations rather than inferential evidence. | ||
| 650 | 4 | |a colorectal resections | |
| 650 | 4 | |a ERAS® | |
| 650 | 4 | |a older adults | |
| 650 | 4 | |a perioperative management | |
| 650 | 4 | |a robotic surgery | |
| 700 | 1 | |a Hardt, Julia |d 1983- |e VerfasserIn |0 (DE-588)141404299 |0 (DE-627)62729796X |0 (DE-576)183827643 |4 aut | |
| 700 | 1 | |a Reißfelder, Christoph |d 1975- |e VerfasserIn |0 (DE-588)1025566211 |0 (DE-627)722940297 |0 (DE-576)370516044 |4 aut | |
| 700 | 1 | |a Ritz, Jörg-Peter |d 1963- |e VerfasserIn |0 (DE-588)12125691X |0 (DE-627)081187408 |0 (DE-576)292612737 |4 aut | |
| 700 | 1 | |a Peters, Franziska |e VerfasserIn |4 aut | |
| 700 | 1 | |a Seyfried, Steffen |d 1988- |e VerfasserIn |0 (DE-588)1164103199 |0 (DE-627)102848996X |0 (DE-576)508380391 |4 aut | |
| 773 | 0 | 8 | |i Enthalten in |t Frontiers in Surgery |d Lausanne : Frontiers Media, 2014 |g 12(2025), Artikel-ID 1638414, Seite 1-9 |h Online-Ressource |w (DE-627)788288954 |w (DE-600)2773823-1 |w (DE-576)408066717 |x 2296-875X |7 nnas |a RERAS - robotic colorectal resections and ERAS® in older adults optimizing recovery or adding complexity? |
| 773 | 1 | 8 | |g volume:12 |g year:2025 |g elocationid:1638414 |g pages:1-9 |g extent:9 |a RERAS - robotic colorectal resections and ERAS® in older adults optimizing recovery or adding complexity? |
| 856 | 4 | 0 | |u https://doi.org/10.3389/fsurg.2025.1638414 |x Verlag |x Resolving-System |z kostenfrei |3 Volltext |7 0 |
| 856 | 4 | 0 | |u https://www.frontiersin.org/journals/surgery/articles/10.3389/fsurg.2025.1638414/full |x Verlag |z kostenfrei |3 Volltext |7 0 |
| 951 | |a AR | ||
| 992 | |a 20260206 | ||
| 993 | |a Article | ||
| 994 | |a 2025 | ||
| 998 | |g 1164103199 |a Seyfried, Steffen |m 1164103199:Seyfried, Steffen |d 60000 |d 61800 |d 60000 |e 60000PS1164103199 |e 61800PS1164103199 |e 60000PS1164103199 |k 0/60000/ |k 1/60000/61800/ |k 0/60000/ |p 6 |y j | ||
| 998 | |g 1025566211 |a Reißfelder, Christoph |m 1025566211:Reißfelder, Christoph |d 60000 |d 61800 |d 50000 |e 60000PR1025566211 |e 61800PR1025566211 |e 50000PR1025566211 |k 0/60000/ |k 1/60000/61800/ |k 0/50000/ |p 3 | ||
| 998 | |g 141404299 |a Hardt, Julia |m 141404299:Hardt, Julia |d 60000 |d 61800 |d 60000 |e 60000PH141404299 |e 61800PH141404299 |e 60000PH141404299 |k 0/60000/ |k 1/60000/61800/ |k 0/60000/ |p 2 | ||
| 998 | |g 1372294694 |a El-Ahmar, Mohamad |m 1372294694:El-Ahmar, Mohamad |d 60000 |e 60000PE1372294694 |k 0/60000/ |p 1 |x j | ||
| 999 | |a KXP-PPN1951326091 |e 487760989X | ||
| BIB | |a Y | ||
| SER | |a journal | ||
| JSO | |a {"origin":[{"dateIssuedDisp":"03 December 2025","dateIssuedKey":"2025"}],"person":[{"family":"El-Ahmar","role":"aut","given":"Mohamad","display":"El-Ahmar, Mohamad"},{"display":"Hardt, Julia","family":"Hardt","role":"aut","given":"Julia"},{"family":"Reißfelder","role":"aut","given":"Christoph","display":"Reißfelder, Christoph"},{"family":"Ritz","given":"Jörg-Peter","role":"aut","display":"Ritz, Jörg-Peter"},{"display":"Peters, Franziska","family":"Peters","role":"aut","given":"Franziska"},{"display":"Seyfried, Steffen","family":"Seyfried","given":"Steffen","role":"aut"}],"relHost":[{"type":{"bibl":"periodical","media":"Online-Ressource"},"language":["eng"],"part":{"extent":"9","text":"12(2025), Artikel-ID 1638414, Seite 1-9","volume":"12","year":"2025","pages":"1-9"},"title":[{"title_sort":"Frontiers in Surgery","title":"Frontiers in Surgery"}],"id":{"issn":["2296-875X"],"eki":["788288954"],"zdb":["2773823-1"]},"titleAlt":[{"title":"FSURG"},{"title":"Front. Surg."}],"pubHistory":["1.2014 -"],"origin":[{"dateIssuedDisp":"2014-","dateIssuedKey":"2014","publisherPlace":"Lausanne","publisher":"Frontiers Media"}],"disp":"RERAS - robotic colorectal resections and ERAS® in older adults optimizing recovery or adding complexity?Frontiers in Surgery","physDesc":[{"extent":"Online-Ressource"}],"recId":"788288954"}],"title":[{"subtitle":"optimizing recovery or adding complexity?","title_sort":"RERAS - robotic colorectal resections and ERAS® in older adults","title":"RERAS - robotic colorectal resections and ERAS® in older adults"}],"language":["eng"],"type":{"media":"Online-Ressource","bibl":"article-journal"},"note":["Veröffentlicht: 03. Dezember 2025","Gesehen am 06.02.2026"],"recId":"1951326091","physDesc":[{"extent":"9 S."}],"name":{"displayForm":["M. El-Ahmar, J. Hardt, C. Reissfelder, J.-P. Ritz, F. Peters and S. Seyfried"]},"id":{"doi":["10.3389/fsurg.2025.1638414"],"eki":["1951326091"]}} | ||
| SRT | |a ELAHMARMOHRERASROBOT0320 | ||