在患有结肠癌的老年患者中进行机器人结肠手术的结果
Ellen Van Eetvelde1, Manu Verweirder2, Lore Decoster3
1Department of Surgery, Universitair Ziekenhuis Brussel (UZ Brussel) and Vrije Universiteit Brussel (VUB), Laarbeeklaan 101, 1090 Brussels, Belgium.
Journal of geriatric oncology
|February 17, 2025
概括
机器人辅助手术对于结肠癌 (CC) 的老年患者来说是安全的,没有增加死亡率或重大并发症. 虽然恢复可能需要更长的时间,但机器人方法可以为这个人口群体提供最少的侵入性治疗.
科学领域:
- 手术瘤学手术瘤学
- 老年人手术是一门老年人手术.
- 最少侵入性的手术
背景情况:
- 老年人经常有并发症,增加了与传统结肠癌 (CC) 手术相关的风险.
- 机器人辅助手术为患有CC的老年患者提供了最少侵入性的替代方案.
研究的目的:
- 评估机器人辅助手术对接受结肠癌治疗的老年患者的安全性和结果.
主要方法:
- 对从231名患者 (≥70岁) 进行机器人辅助心脏病手术 (2016-2022) 的前性收集数据的回顾性分析.
- 根据年龄和瘤位置进行子组分析.
- 术后结局的比较,包括30天主要发病率,90天死亡率,整体存活率 (OS) 和癌症特异性存活率 (CSS).
主要成果:
- 跨年龄组90天死亡率或30天主要发病率没有显著差异.
- 在70岁及以上的患者中,增加了30天的整体发病率,停留时间和达到完全流动性的时间.
- 癌症特异性存活率在各年龄组中是可比的,但随着年龄的增长,总体存活率下降.
结论:
- 机器人辅助手术对于需要切除结肠癌的老年患者来说是一种安全和可行的选择.
- 虽然整体生存率受到年龄的影响,但机器人手术为老年人提供了一种具有可接受短期结果的微创方法.
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