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[Surgery].

Jean-Claude Givel1, Igor Langer, Nicolas Demartines

  • 1Service de chirurgie viscérale, CHUV, Lausanne.

Revue Medicale Suisse
|March 16, 2007
PubMed
Summary
This summary is machine-generated.

Minimal invasive surgery is expanding, including for esophageal cancer and in elderly patients for various abdominal surgeries. Sacral nerve stimulation offers an effective alternative for fecal incontinence, improving quality of life.

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Area of Science:

  • Surgical Innovation
  • Geriatric Surgery
  • Gastroenterology

Context:

  • Growing indications for minimally invasive surgery (MIS) across various surgical fields.
  • Advancements in multidisciplinary approaches enhance outcomes in hepatobiliary surgery.
  • Increasingly recognized importance of comorbidities in elderly patients undergoing major abdominal surgeries.

Purpose:

  • To highlight the expanding role of MIS in complex conditions like esophageal cancer.
  • To discuss the evolving criteria for surgical interventions in elderly patients.
  • To present sacral nerve stimulation as a viable treatment for fecal incontinence.

Summary:

  • Minimally invasive techniques, including laparoscopy without age limits, are becoming standard for esophageal cancer and in elderly patients for pancreatic, hepatic, and colorectal procedures.

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  • Peripheral transcutaneous neuromodulation via sacral nerve stimulation demonstrates efficacy in managing fecal incontinence, improving both continence and patient quality of life.
  • Impact:

    • Broadens the application of MIS, potentially leading to reduced patient recovery times and improved surgical outcomes.
    • Challenges traditional age-related surgical limitations, expanding treatment options for the elderly population.
    • Offers a significant non-surgical alternative for fecal incontinence, enhancing patient well-being.