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在手术和子宫内膜癌症后改善康复:初步专注于老年患者的初步经验的结果

Céline Miguet¹, Camille Jauffret¹, Christophe Zemmour²

¹Department of Surgical Oncology, Institute Paoli-Calmettes, 13009 Marseille, France.

|June 28, 2023

概括

手术后增强恢复 (ERAS) 协议显著减少子宫内膜癌患者的住院时间,特别是70岁以上的患者. 埃拉斯改善了早期出院率,而不会增加并发症,有利于癌症治疗.

科学领域:

妇科瘤学妇科瘤学
外科手术的结果
老年医疗护理医疗护理

背景情况:

子宫内膜癌是法国老年女性常见的恶性瘤.
最少侵入性手术和手术后增强恢复 (ERAS) 越来越多地使用.
关于ERAS对子宫内膜癌结局的具体影响尚不清楚.

研究的目的:

评估ERAS对子宫内膜癌患者住院时间 (LOS) 的影响.
确定ERAS对早期出院,术后发病率和再住院率的影响.

主要方法:

一项前性观察性研究,比较ERAS (261名患者) 与非ERAS (166名患者) 途径.
在2006年至2020年期间在综合癌症中心收集的数据.
进行了单变量和多变量分析.

主要成果:

在ERAS患者中,LOS显著较短 (3.18 vs 4.87天,p < 0.0001).
这种益处在70岁以上的患者中更为明显 (估计减少-2.06天,p < 0.0001).
在没有引起并发症的情况下,ERAS增加了早期放弃率 (47.5%与14.5%,p < 0.0001).

结论:

ERAS协议对治疗子宫内膜癌有益,特别是在老年人中.
埃拉斯可以促进更短的住院时间和更高的早期出院率.
这些发现支持对子宫内膜癌的门诊护理途径的潜在发展.

关键词:

提前释放的情况年长的老人老年人老年人.这是子宫内膜癌的癌症.加强手术后的康复,改善手术后的恢复.妇科瘤外科手术停留时间的长度.术后并发症术后并发症

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