dostęp otwarty
Oncogeriatrics (part 3.) Influence of surgical trauma on older patients
- Department of General, Oncological and Geriatric Surgery, Jagiellonian University Medical College, Krakow
dostęp otwarty
Streszczenie
In the elderly, there is a unique situation where factors resulting from the ageing process and the cumulative effect of accompanying diseases interact with severe stress associated with surgery. Currently, there is no effective way to pharmacologically influence the course of pro- and anti-inflammatory responses. Therefore, surgeons should attempt to limit potential risks during procedures by conducting scheduled surgery, positioning the patient in the safe way, using minimally invasive surgical techniques, limiting intraoperative blood loss – even at the expense of prolonged surgical time, avoiding hypothermia and working in an experienced surgical and anaesthetic team. Such elements are of paramount importance for older patients undergoing surgery, particularly with frailty syndrome.
Streszczenie
In the elderly, there is a unique situation where factors resulting from the ageing process and the cumulative effect of accompanying diseases interact with severe stress associated with surgery. Currently, there is no effective way to pharmacologically influence the course of pro- and anti-inflammatory responses. Therefore, surgeons should attempt to limit potential risks during procedures by conducting scheduled surgery, positioning the patient in the safe way, using minimally invasive surgical techniques, limiting intraoperative blood loss – even at the expense of prolonged surgical time, avoiding hypothermia and working in an experienced surgical and anaesthetic team. Such elements are of paramount importance for older patients undergoing surgery, particularly with frailty syndrome.
Słowa kluczowe
older patient; surgical trauma; postoperative outcomes
Tytuł
Oncogeriatrics (part 3.) Influence of surgical trauma on older patients
Czasopismo
Biuletyn Polskiego Towarzystwa Onkologicznego Nowotwory
Numer
Strony
215-219
Opublikowany online
2020-01-09
Wyświetlenia strony
444
Wyświetlenia/pobrania artykułu
93
Rekord bibliograficzny
Biuletyn Polskiego Towarzystwa Onkologicznego Nowotwory 2019;4(5-6):215-219.
Słowa kluczowe
older patient
surgical trauma
postoperative outcomes
Autorzy
Jakub Kenig