van Leeuwen Barbara L, Huisman Monique G, Audisio Riccardo A
Department of Surgery, University Medical Center Groningen, Groningen University, Groningen, The Netherlands.
Interdiscip Top Gerontol. 2013;38:124-31. doi: 10.1159/000343582. Epub 2013 Jan 17.
Recent developments in oncogeriatric surgery focus on several items - preoperative risk estimation and identification of frail patients and optimalization of perioperative care. New screening tools are being evaluated and show promising results. There is increasing evidence that preoperative training of frail patients might decrease the rate of postoperative complications and increase survival. The recent trend towards individualized treatment schemes will certainly be of benefit for the elderly population. More tools are becoming available to answer the most difficult question of all, namely whether surgery is the optimal treatment in this individual frail elderly oncogeriatric patient.
老年肿瘤外科的最新进展集中在几个方面——术前风险评估、体弱患者的识别以及围手术期护理的优化。新的筛查工具正在接受评估，并显示出有前景的结果。越来越多的证据表明，对体弱患者进行术前训练可能会降低术后并发症发生率并提高生存率。近期个体化治疗方案的趋势肯定会对老年人群有益。越来越多的工具可用于回答最棘手的问题，即手术是否是这位体弱老年肿瘤患者的最佳治疗方法。
