Preoperative frailty increases the likelihood of postoperative complications among patients undergoing minimally invasive surgery (MIS), researchers reported online ahead of print in the Journal of Endourology.

A team led by Kenneth Ogan, MD, of Emory University School of Medicine in Atlanta, studied 80 patients undergoing MIS. The patients had presented to urology, surgical oncology, and general surgery clinics. Of these, 13 were considered intermediately frail or frail. Thirteen patients experienced postoperative complications: five intermediately frail and frail patients (38.5%) compared with eight not frail patients (11.9%).

“The advent of MIS has potentially lured surgeons into thinking older [patients] and patients with comorbidities may more easily tolerate this surgical approach compared with traditional open techniques,” the investigators concluded. “Our data suggest, however, that intermediately frail or frail patients are at increased risk of experiencing postoperative complications compared with not frail patients.”

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