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老年人与非老年患者的切除性结直肠手术后的短期术后结果:单一中心的回顾性分析
Vincenzo Tondolo1, Federica Marzi1, Luca Emanuele Amodio1
1Digestive and Colo-Rectal Surgery Unit, Ospedale Isola Tiberina Gemelli Isola, 00186 Rome, Italy.
Cancers
|October 16, 2024
概括
75岁以上接受大结直肠手术的老年患者经历的短期并发症和更长的住院时间略有增加,但严重并发症与年轻患者相似. 高龄不是对切除性结直肠手术的禁忌.
科学领域:
- 结肠直肠手术 结肠直肠手术
- 老年医学 老年医学
- 外科手术的结果
背景情况:
- 随着预期寿命的增加,老年人群的疾病负担越来越大.
- 卫生系统必须评估像手术这样的大型干预措施对老年人的影响.
- 对老年人进行切除性结直肠手术 (RCRS) 的风险和益处进行评估至关重要.
研究的目的:
- 量化晚年对切除性结直肠手术 (RCRS) 后短期术后结果的影响.
- 为了比较接受RCRS的老年人 (75岁以上) 和年轻人 (75岁以下) 患者组之间的结果.
主要方法:
- 在2022年7月至2023年11月期间接受RCRS的患者的回顾性分析.
- 患者被分为一个老年人群 (EG,75岁以上) 和一个年轻人群 (YG,75岁以下).
- 术后并发症使用克拉维恩分类来分类;结果在各组之间进行了比较.
主要成果:
- 老年人群 (EG) 有较高的短期术后并发症风险 (RR 1.64) 和ICU入院 (RR 2.69).
- 在EG和YG之间没有观察到严重并发症 (等级≥3) 的显著差异.
- 老年患者在医院住院时间延长了一天 (6天而不是5天).
结论:
- 高龄,特别是75岁以上,似乎没有违反切除性结直肠手术.
- 接受RCRS的老年患者的短期结果通常是最小的和可以接受的.
- 对于老年患者来说,RCRS是一个可行的选择,特别是那些患有结直肠癌的人.
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