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基于安全性和手术后的营养恢复,八十岁的胰腺除术的可行性
Naoki Iwanaga1, Hiroyuki Sugo1, Takeshi Yamamoto1
1Department of General Surgery, Juntendo University Nerima Hospital, Japan.
概括
胰腺双管切除术 (PD) 对八十岁的人来说是安全的和可行的,即使考虑到营养状况. 晚年不应该排除患者的PD,但谨慎的选择和术后护理是必不可少的.
科学领域:
- 手术瘤学手术瘤学
- 老年人手术是一门老年手术.
- 胃肠病学 胃肠病学
背景情况:
- 八十岁以上 (80岁以上) 患者的胰腺双管切除术 (PD) 仍然存在争议.
- 对这一群体来说,评估安全性和术后营养变化至关重要.
研究的目的:
- 评估八十多岁患者PD的可行性和安全性.
- 为了比较术后的营养状况,包括身体组成,八十岁和非八十岁的群体.
主要方法:
- 一项比较研究包括141名患有PD的患者,其中24名在八十岁组 (≥80岁) 和117名在非八十岁组.
- 手术后的结果,营养状况 (体重,血清白蛋白) 和身体组成被评估至手术后12个月.
主要成果:
- 与年轻患者相比,八分生病患者手术前功能状态和白蛋白水平较低,但患病率和死亡率相似.
- 术后的营养状况和八十岁人的身体组成与非八十岁人群相似.
- 胰腺癌诊断,血清白蛋白和UICC阶段预测了整体存活率.
结论:
- 对于八十岁的人来说,PD是一种安全和可行的程序,包括营养方面.
- 高龄本身不应该是PD的禁忌;仔细的患者选择和术后管理是关键.
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