八旬老人行腹腔镜部分肾切除术的生理及麻醉相关考量
Physiologic and anesthetic considerations in octogenarians undergoing laparoscopic partial nephrectomy.
作者信息
Todd Elizabeth, Vasdev Nikhil, Soomro Naeem A
机构信息
Department of Urology, Freeman Hospital Newcastle Upon Tyne, United Kingdom.
出版信息
Rev Urol. 2013;15(1):23-31.
The number of small renal tumors detected is increasing as imaging becomes both more available and advanced, and as the population ages, with a greater proportion of patients in their 80s emerging with small and treatable renal tumors. The technique of laparoscopic partial nephrectomy is emerging and becoming ever more popular in some centers, and is potentially a safer alternative for the elderly due to improved postoperative pain, shorter hospital stay with faster return to preoperative activities, and lower rates of morbidity and mortality. We present a systematic review of the physiologic and anesthetic considerations in octogenarians undergoing the procedure, highlighting special considerations and the need for expertise throughout the multidisciplinary team when dealing with these patients, in order to minimize risk and optimize outcome.
随着影像学检查越来越普及和先进，以及人口老龄化，检测出的小肾肿瘤数量正在增加，80多岁的患者中出现小的可治疗肾肿瘤的比例更大。腹腔镜部分肾切除术技术正在兴起，在一些中心越来越受欢迎，由于术后疼痛减轻、住院时间缩短且能更快恢复术前活动，以及发病率和死亡率较低，该技术对老年人来说可能是一种更安全的选择。我们对接受该手术的八旬老人的生理和麻醉方面的考虑因素进行了系统综述，强调了特殊注意事项以及在处理这些患者时多学科团队中各专业人员具备专业知识的必要性，以便将风险降至最低并优化治疗结果。
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