在选择性结肠直肠癌手术后的八十岁患者的结果
Kaushik Thungathurthi1, Matthew Wei1, Bushra Othman1
1Colorectal Surgery, Division of General Surgery, Eastern Health, Melbourne, VIC, Australia.
Journal of gastrointestinal oncology
|September 18, 2023
概括
八十多岁的结肠直肠癌手术显示出良好的结果. 大多数患者在手术后保持独立,随着年龄和步行辅助器的使用,可以预测独立性丧失.
科学领域:
- 老年人手术是一门老年手术.
- 手术瘤学手术瘤学
- 结肠直肠癌研究研究
背景情况:
- 在八十岁的年轻人中,结直肠手术的患病率越来越高.
- 证明了良好的手术结果,但对长期功能恢复的数据有限.
- 功能状态和独立性是患者的关键考虑因素.
研究的目的:
- 为了评估长期的功能结果后结肠直肠癌手术在八岁.
- 确定这种患者群体中失去独立性的预测因素.
- 评估术后康复和并发症.
主要方法:
- 对80岁以上接受选择性结直肠癌切除术的患者的回顾性分析.
- 使用东部合作性瘤组 (ECOG) 评分进行手术前和手术后评估的功能状态.
- 独立性丧失 (LOI) 定义为日常生活活动 (ADL) 的能力降低.
主要成果:
- 41名患者 (随访时间中位数为15个月) 进行了选择性结直肠癌切除.
- 低30天死亡率 (0%) 和1年死亡率 (4.9%). 克拉维恩-丁多平均得分为1.
- 只有4.9%的患者失去了独立性 (LOI);年龄和疾病前的步行辅助使用是预测性的.
结论:
- 八胞胎患者可以在结直肠癌手术后获得良好的术后结果和功能恢复.
- 术前优化和术后支持对于成功的结果至关重要.
- 仔细的患者选择和管理可以减轻老年手术患者的风险.
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