open access

Vol 69, No 5-6 (2019)
Review article
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Oncogeriatrics (part 3.) Influence of surgical trauma on older patients

Jakub Kenig
DOI: 10.5603/NJO.2019.0030
·
Nowotwory. Journal of Oncology 2019;69(5-6):163-167.

open access

Vol 69, No 5-6 (2019)
Review article

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.

Get Citation

Keywords

older patient; surgical trauma; postoperative outcomes

About this article
Title

Oncogeriatrics (part 3.) Influence of surgical trauma on older patients

Journal

Nowotwory. Journal of Oncology

Issue

Vol 69, No 5-6 (2019)

Pages

163-167

DOI

10.5603/NJO.2019.0030

Bibliographic record

Nowotwory. Journal of Oncology 2019;69(5-6):163-167.

Keywords

older patient
surgical trauma
postoperative outcomes

Authors

Jakub Kenig

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