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在术后康复的八年龄人群中,胰腺双管切除术加强了ERAS协议的术后康复
Naoki Iwanaga1, Yoshinori Takeda2, Ryuji Yoshioka2
1Department of General Surgery, Juntendo University Nerima Hospital, Tokyo, Japan.
BMC surgery
|November 13, 2024
概括
经过手术后的增强恢复 (ERAS) 与术后康复改善了经过胰腺突切除术 (PD) 的八岁人群的结果. 这种方法使得80岁以上的年龄不是主要并发症的风险因素,与年轻患者相比.
科学领域:
- 在瘤学瘤学.
- 老年人手术是一门老年人手术.
- 外科手术的结果
背景情况:
- 胰腺双管切除术 (PD) 是胰腺/周边肺癌的标准.
- 八代人经常在PD后有糟糕的结果,原因是并发症和虚弱.
- 康复对老年PD患者的影响尚不清楚.
研究的目的:
- 评估康复增强的ERAS协议对经过PD的80岁患者的短期结果的影响.
- 为了比较PD后的八岁生和非八岁生之间的术后结果.
主要方法:
- 对251名接受PD的患者进行了回顾性研究 (2019年1月至2022年12月).
- 所有患者都接受了手术后增强恢复 (ERAS) 协议.
- 老年患者或虚弱患者接受了额外的术后康复治疗.
主要成果:
- 八代人群 (n=44) 的共发病率和肉病率较高.
- 术后主要并发症的发生率在八十岁 (25.0%) 和非八十岁 (24.6%) 之间是相似的.
- 住院时间和功能恢复在各组之间没有显著差异.
结论:
- 一个改进了康复的ERAS协议给八十多岁的患者和接受PD的年轻患者带来了可比的结果.
- 在这个队列中,年龄≥80岁不是主要并发症的风险因素.
- 术后康复有效地减轻了老年PD患者的风险.
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