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Oncogeriatrics (part 3.) Influence of surgical trauma on older patients
Affiliations- Department of General, Oncological and Geriatric Surgery, Jagiellonian University Medical College, Krakow, Poland
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Abstract
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.
Abstract
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.
Keywords
older patient; surgical trauma; postoperative outcomes
About this articleTitle
Oncogeriatrics (part 3.) Influence of surgical trauma on older patients
Journal
Nowotwory. Journal of Oncology
Issue
Article type
Review paper
Pages
163-167
Published online
2019-12-31
Page views
872
Article views/downloads
551
DOI
Bibliographic record
Nowotwory. Journal of Oncology 2019;69(5-6):163-167.
Keywords
older patient
surgical trauma
postoperative outcomes
Authors
Jakub Kenig