[多病症患者风险分层和胰腺手术中的说明]
Islam Labib1, Jürgen Weitz1, Sebastian Hempel2
1Klinik und Poliklinik für Viszeral‑, Thorax- und Gefäßchirurgie, Universitätsklinikum und Medizinische Fakultät Carl Gustav Carus, Technische Universität Dresden, Fetscherstraße 74, 01307, Dresden, Deutschland.
Chirurgie (Heidelberg, Germany)
|January 6, 2025
概括
胰腺手术带有很高的风险,特别是在多种健康状况的老年患者身上. 然而,经验丰富的手术中心可以通过仔细的患者选择和精确的手术指示来实现低死亡率.
科学领域:
- 手术瘤学手术瘤学
- 胃肠病学 胃肠病学
- 老年医学 老年医学
背景情况:
- 胰腺手术与显著的发病率有关.
- 随着伴随疾病增加的老龄化人口增加了风险分层和手术指示的重要性.
研究的目的:
- 评估患者多病症对胰腺手术后术后结果的影响.
主要方法:
- 一个全面的文献综述和现有研究的摘要.
主要成果:
- 在胰腺手术后的术后发病率仍然很高.
- 肝硬化,心脏/肺部疾病和功能衰竭等并发症显著增加了外科手术期间的风险.
- 在拥有专业专业知识的高体积中心,死亡率低于5%.
结论:
- 在患有严重并发症的患者中,胰腺手术可以在专家中心安全地进行.
- 仔细选择患者和明智地解释手术指示对于有利的术后结果至关重要.
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