Sunday, June 22, 2008

Elderly cancer patients for minimally invasive surgery

The elderly significantly diminish the organ, and easy to merge various diseases of all kinds of combat trauma tolerance of difference, surgery is no exception, especially cancer patients need to increase lesion removed lymph node dissection, a surgical trauma. Before many of the elderly cancer patients as one of the operation of taboos, the majority of elderly patients because of lack of timely and accurate treatment and died. But in recent years show that senior citizens in the growing operation, the surgical greatly relaxed the age limit, and the effect of the affirmative, it is also inseparable from the development of surgical techniques. Therefore, the senior citizens is not absolute taboo of surgery, will not completely hinder the choice of surgery. In the treatment of choice should be more patient to consider the "physiological age", the body position, type of disease, pathological stage, not because of the frail elderly, the general decline in immunity, surgical complications, the risk to give up surgery. Now the latest view is that as long as a careful assessment of the risk of surgery for elderly patients, the necessary potential of the former, the appropriate master surgery indication, the elderly-operation to strengthen the monitoring and treatment, to co-exist in the treatment of the elderly, generally not Increase in the mortality rate of surgery. In recent years other diseases associated with old age tumor surgery reported increase, despite the complications of high, but the exact long-term effect, far higher than those for surgery patients. At present these patients to take the following measures: 1. Focus on treatment of complications, the general situation to improve, obviously surgery can be tolerated as far as possible implementation of radical surgery. 2. For early patients generally poor, to streamline operations, and more surgery to tide over the difficulties. 3. For the terminally ill, palliative surgery to take place within the stent, endoscopic, and other treatment, can also improve the quality of life and prolong life. In the choice of method, taking into account the reduction of physical trauma, to select suitable for radical simplification, as far as possible choose surgery auxiliary equipment, such as the stapler, closing, etc., to shorten the operation time to reduce surgical trauma. Elderly cancer surgery with the primary objective is the primary focus, not completely radical, should not be extended radical, Tuzeng the risk of surgery and postoperative complications. The rapid development of minimally invasive surgery to infiltrate into tumor surgery among the elderly. Laparoscopic cholecystectomy surgery because of the remarkable achievements, and the rapid development of all types of abdominal surgery disease, technical Yiqu perfect. Abdominal tumor in his old age has been extended old age in the diagnosis of malignant ascites, abdominal cancer diagnosis and staging, stomach, colon, rectal cancer, ovarian cancer, uterine cancer, such as surgery. Benefits are suffering small, short hospital stay, fewer complications and mortality rate is low, especially for frail older persons.

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