[第八代患者的胰腺管切除术和标准化评估的需要]
Natalia Reyes1, José M Courtin1, Sergio Riveros1
1Departamento de Cirugía Digestiva, Hospital Clínico UC CHRISTUS, Pontificia Universidad Católica de Chile, Santiago, Chile.
概括
胰腺二管切除术是一种可行的治疗八岁以上人群周围瘤的方法,其患病率和死亡率较低. 在高人数中心,仔细选择患者是成功治疗老年人群的关键.
科学领域:
- 手术瘤学手术瘤学
- 胃肠病学 胃肠病学
- 老年人手术是一门老年手术.
背景情况:
- 胰腺二管切除术是周围瘤的主要治疗选择.
- 关于其在八十岁患者中的应用的证据有限.
研究的目的:
- 评估80岁及以上患者胰腺切除术的安全性和结果.
- 描述这个特定的人群中的外科经验和生存率.
主要方法:
- 对80岁以上的患者进行瘤周边瘤瘤切除术的回顾性分析 (2002-2022年).
- 使用了描述性统计和卡普兰-梅尔生存分析.
主要成果:
- 包括24名八十多岁的患者 (平均年龄82岁) 患有恶性周围瘤.
- 重大并发症的发病率低 (有2种医疗并发症),30/90天没有术后死亡率,没有重新手术或再入院.
- 5年总生存率为20.1%,中位数生存时间为22个月.
结论:
- 胰腺切除术是安全和适当的治疗选择的八旬期患者与周围瘤瘤.
- 在高人数中心进行多学科的手术前评估对于优化这一老年人群的结果至关重要.
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