我们应该在非老年人身上做手术吗?有症状的巨型腹腔?
Gad Marom1,2, Samer Abu Salem1, Rachel Gefen1
1Department of General Surgery, Hadassah Hebrew University Medical Center, Jerusalem, Israel.
概括
在非老年人中,巨型缺口 (HH) 的腹腔镜修复是安全有效的. 在这个老年人群中,手术治疗导致了较短的住院时间和较低的死亡率,而不是医疗治疗.
科学领域:
- 胃肠病学 胃肠病学
- 手术瘤学手术瘤学
- 老年医学 老年医学
背景情况:
- 椎 (HH) 是一种常见的上部胃肠道疾病.
- 在老年人群中,越来越多地出现巨型副食道,其中>30%的胃部位于胸部.
- 这些可以引起显著的发病率,包括消化不良,出血和长时间住院治疗.
研究的目的:
- 评估在非老年人中沟的手术与医疗管理的安全性和结果.
- 为了比较治疗组之间的住院时间,住院时间和死亡率.
主要方法:
- 关于在2018年至2022年期间因缺口入院的非老年患者的前性维护数据库的回顾性审查.
- 人口统计,临床数据和手术和非手术治疗患者之间的结果的比较.
主要成果:
- 20名非老年人因高血压住院;6人接受手术,14人接受医疗管理.
- 手术患者的住院时间更短,住院时间更短,需要的血液制品更少.
- 在手术组中没有发生住院死亡,而在非手术组中只有2例. 所有手术都是通过腹腔镜进行的,并有轻微的并发症.
结论:
- laparoscopic 间歇性 Hernia 修复是一个安全和有利的选择,为选定的非老年患者.
- 手术干预可以减少住院时间,并减轻这一老年人群的发病率.
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