八十多岁的直肠的管理:在13年的经验中从一个大体积的中心学到的教训
Giulia De Carlo1, Mikhael Belkovsky2, Kristen A Ban2
1Department of Colorectal Surgery, Digestive Disease and Surgery Institute, Cleveland Clinic, 9500 Euclid Ave., Cleveland, OH, 44195, USA. giuliadecarlo211192@gmail.com.
Updates in surgery
|July 2, 2025
概括
腹部手术用于直肠是安全和有效的八十岁. 这种方法导致老年患者的复发率相比传统周围手术要低得多.
科学领域:
- 结肠直肠外科手术是什么意思
- 老年人手术是一项老年人手术.
- 外科手术的结果
背景情况:
- 传统上,患有直肠的老年患者接受围手术,而年轻患者则接受腹部手术.
- 在八十多岁的患有直肠脱落的患者中,腹部方法的安全性和有效性需要进一步研究.
研究的目的:
- 评估80岁以上 (≥80岁) 患者腹部外科手术治疗直肠的安全性.
- 评估和比较在这个年龄组的腹部和围外科手术方法之间的直肠的复发率.
主要方法:
- 一项对164名80岁及以上的患者进行回顾性审查,这些患者在2010年至2023年期间接受了直肠缩手术.
- 根据手术方法对患者进行了分类:腹部或腹周.
- 两组之间的人口统计数据,并发病,麻醉使用,住院,发病率,死亡率和复发率的比较.
主要成果:
- 在腹部和周周方法之间,没有观察到患者人口统计学,并发症或30天的发病率和死亡率的显著差异.
- 在腹部手术 (8.6%) 后,与周围手术 (18.9%) 相比,直肠脱落的复发率显著降低.
- 住院治疗过程和全身麻醉的使用在两组之间没有显著差异.
结论:
- 在八十多岁的患者中,腹部方法对于治疗直肠是安全的.
- 在老年人中,腹部手术用于直肠,与周围手术相比,复发率较低.
- 腹部方法应优先考虑80岁的直肠的治疗,为那些对全身麻醉或腹部手术有禁忌的人保留腹部方法.
相关概念视频
Assessment of the Rectum and Anus
415
Evaluating the rectum and anus plays a crucial role in conducting a thorough physical examination of the gastrointestinal system. Although it may be uncomfortable and often embarrassing for the patient, it holds immense diagnostic value, particularly in detecting gastrointestinal diseases and abnormalities. This guide will explain how to perform this assessment using inspection and palpation methods.
Rectal Inspection
Begin by inspecting the perianal and anal areas for color, texture, rashes,...
Rectal Inspection
Begin by inspecting the perianal and anal areas for color, texture, rashes,...
415
Inflammatory Bowel Disease V: Surgical Management
224
Surgical interventions for inflammatory bowel disease (IBD), which includes ulcerative colitis and Crohn's disease, are essential in managing symptoms and addressing complications. The selection of surgical procedures is contingent upon the specific conditions and complications that stem from these illnesses.
Here are some common surgical interventions for IBD:
Here are some common surgical interventions for IBD:
224
Urinary Tract Calculi VI: Surgical Management
37
Procedures for Kidney StonesMedical intervention is necessary when kidney stones or renal calculi are too large to pass spontaneously (typically greater than 5 millimeters) when stones are accompanied by symptomatic infection (such as fever or pyelonephritis), when they impair kidney function, or when they cause persistent symptoms like severe pain, nausea, or urinary retention. Additionally, patients with only one kidney or those who cannot be treated with medical management also require...
37
Endoscopic Procedures IV: Sigmoidoscopy and Laproscopy
180
Sigmoidoscopy and laparoscopy are distinct medical procedures that enable physicians to internally inspect different parts of the GI tract. Although they serve different purposes, each is essential for diagnosing and, in some cases, treating various medical conditions.
Sigmoidoscopy
Sigmoidoscopy is a diagnostic procedure that uses a flexible sigmoidoscope equipped with a light source and camera to examine the rectum and sigmoid colon. The procedure involves inserting the tube through the anus...
Sigmoidoscopy
Sigmoidoscopy is a diagnostic procedure that uses a flexible sigmoidoscope equipped with a light source and camera to examine the rectum and sigmoid colon. The procedure involves inserting the tube through the anus...
180
Esophageal Varices-II: Clinical Features and Management
149
Esophageal varices often manifest as gastrointestinal bleeding episodes, presenting symptoms like hematemesis (vomiting of blood), hematochezia (passing fresh blood via the rectum), and melena (black, tarry stools). Other signs can include weight loss, anorexia, abdominal discomfort, jaundice, pruritus, altered mental status, and muscle cramps.
In the initial assessment, a thorough review of the patient's medical history is vital to identify risk factors such as liver disease, alcohol...
In the initial assessment, a thorough review of the patient's medical history is vital to identify risk factors such as liver disease, alcohol...
149
Mitral Valve Prolapse II: Assessment and Management
45
IntroductionA range of clinical features characterizes Mitral Valve Prolapse (MVP), but it is important to note that many individuals with MVP are asymptomatic and may remain so throughout their lives. For those who do exhibit symptoms, the following are the key clinical features:Palpitations: This is a common symptom where individuals feel an irregular or rapid heartbeat. Palpitations in MVP are often due to arrhythmias such as premature ventricular contractions or supraventricular...
45


