Robot-Assisted Hysterectomy in an Oldest-Old Patient Aged 89 Years: A Case Report

TL;DR

A robot-assisted hysterectomy was successfully performed on an 89-year-old woman with persistent uterine bleeding caused by an ovarian tumor.

Contribution

Demonstrates the feasibility and safety of robotic surgery in the oldest-old population.

Findings

Robot-assisted total hysterectomy was safely performed in an 89-year-old patient.

Abnormal bleeding was caused by an estrogen-producing ovarian tumor.

Robotic surgery is a viable option for elderly patients with complex gynecological conditions.

Abstract

In recent years, advances in healthcare and overall living conditions have coincided with a growth in the population of very old adults, particularly those over 85. Treatments that were previously uncommon in this age group are becoming more widely utilized. We present a case of robot-assisted total hysterectomy performed on an 89-year-old female patient. She was admitted to our hospital due to difficulty moving and anemia. Abnormal bleeding was identified as the cause of her anemia; however, repeated endometrial biopsies were negative for malignancy. She was initially transferred to a rehabilitation hospital due to worsening hip joint disease. Persistent genital bleeding continued, resulting in anemia that required blood transfusions. Finally, robotic surgery was performed. The cause of the abnormal bleeding was estrogen-related uterine bleeding due to an estrogen-producing ovarian tumor. This case demonstrates the feasibility and safety of robotic surgery in the oldest old. However, further consideration is needed regarding the most appropriate approach for total hysterectomy in this population.

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