老是更糟糕的吗?老是更糟糕的 经过胃切除术的老年患者:一个单中心研究
Annali italiani di chirurgia
|August 2, 2023
概括
在老年患者中,胃癌手术是可行的,但75岁以上的患者面临更高的并发症和死亡风险. 对于接受胃切除术的这个年龄组,需要仔细考虑.
科学领域:
- 在瘤学瘤学.
- 老年医学 老年医学
- 外科胃肠道外科手术
背景情况:
- 在老年人中,胃癌的发病率很高.
- 关于老年胃切除患者的临床和预后特征的数据有限.
- 预期寿命的增加有助于增加患有胃癌的老年人群.
研究的目的:
- 评估为胃癌进行胃切除术的老年患者的临床和预后特征.
- 为了比较年轻老年人 (65-74岁) 和老年老年人 (≥75岁) 患者之间的结果.
主要方法:
- 对263名65岁以上的胃癌手术患者进行了回顾性分析.
- 人口统计的评估,美国麻醉师协会得分,预后营养指数 (PNI),并发症,ICU持续时间和停留时间.
- 在年轻老年和老年老年群体之间比较术后结果和整体存活率.
主要成果:
- 复手率,住院死亡率和住院时间在老年人群 (≥75岁) 中显著更高.
- 在PNI<40的患者中,并发症显著增加.
- 在老年人群中,五年整体生存率 (33%) 与年轻人群 (55%) 相比较低.
结论:
- 胃切除术是老年胃癌患者的可行选择.
- 增加的并发症和住院死亡率与75岁及以上的患者有关.
- 与年龄相关的因素和营养状况 (PNI) 是管理经过胃切除术的老年患者的关键考虑因素.
相关概念视频
01:25Peptic Ulcer Disease V: Surgical Management and Nursing Care
340
Surgical management and nursing care are crucial in treating Peptic Ulcer Disease (PUD). Here is an organized and enhanced overview of the surgical interventions and the associated nursing care for PUD:
Surgical Interventions for Peptic Ulcer Disease
Surgical Interventions for Peptic Ulcer Disease
340
01:15Enteral Nutrition II: Nasointestinal and Gastrostomy Feeding
200
Enteral nutrition encompasses various methods of delivering nutrition directly to the gastrointestinal (GI) tract, bypassing traditional oral intake. It is particularly beneficial for patients who cannot eat by mouth but have a functioning digestive system. Key methods include nasointestinal feeding, gastrostomy, and jejunostomy, each suited to different clinical scenarios based on the patient's needs and condition.
Nasointestinal Feeding
Nasointestinal feeding involves placing a tube...
Nasointestinal Feeding
Nasointestinal feeding involves placing a tube...
200