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在老年患者的逆腹腔镜部分切术后的外科手术,瘤和功能结果:倾向性得分匹配分析

Kaan Karamık¹, Hakan Anıl², Ali Yıldız³

¹Department of Urology, Kemer State Hospital, Antalya, Turkey.

Journal of laparoendoscopic & advanced surgical techniques. Part A

|August 29, 2024

概括

拉巴罗斯科普部分切除术 (LPN) 对于70岁以上的老年患者来说是安全有效的. 结果与年轻患者相似,尽管年轻组的功能结果略有改善.

科学领域:

泌尿器科泌尿器科泌尿器科泌尿器科
手术瘤学手术瘤学
老年医学老年医学

背景情况:

腹腔镜部分切除术 (LPN) 是对脏瘤的标准治疗方法.
对老年患者 (≥70岁) 的LPN结局的数据有限.
在这个人口群体中评估安全性和有效性至关重要.

研究的目的:

评价老年患者 (≥70岁) 背皮质LPN的外科,瘤和功能结局.
将这些结果与年轻患者 (70岁以下) 进行比较.

主要方法:

追溯对329名患者进行逆皮质LPN的回顾性审查 (2013年1月至2022年10月).
患者被分为两组:≥70岁和<70岁.
倾向性得分匹配用于平衡队列进行比较.

主要成果:

两组之间在术后结果 (手术时间,缺血,失血,并发症) 上没有显著差异.
老年患者的Pentafecta使用率较低 (P=.029).
癌症结局 (无复发,癌症特异性存活率) 是可比的;较年轻的组具有更好的功能结局 (P=.003,P=.001).

结论:

在老年患者中,Retroperitoneal LPN是安全且在瘤学上有效的.
虽然功能结果可能会略有减少,但LPN是这个人群的可行选择.

关键词:

年长的老人老年人老年人.腹腔镜检查是指腹腔镜检查.部分脏切除术部分脏切除术细胞癌瘤是细胞癌.背上皮质突 (retroperitoneal) 是一个

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