Division of Colon and Rectal Surgery, Department of Surgery, Taipei Tzu Chi Hospital, Buddhist Tzu Chi Medical Foundation, No. 289, Jianguo Rd., Sindian City, Taipei County, 231, Taiwan (R.O.C.).
School of Medicine, Tzu Chi University, Hualien, Taiwan (R.O.C.).
BMC Gastroenterol. 2021 Oct 29;21(1):413. doi: 10.1186/s12876-021-01969-1.
This study aims to assess the association between age and outcomes in patients undergoing hemorrhoidectomy.
This is a population-based cohort study. A retrospectively collected database with consecutive patients whose symptomatic prolapsed hemorrhoids managed by the LigaSure hemorrhoidectomy between Jan. 2015 and May 2017 was reviewed. Among 1238 patients, 1075 were under 65 years old (group 1), and 163 were 65 years old or older (group 2). Both groups were compared regarding baseline characteristics and surgical outcomes.
All patients tolerated the whole course of the operation in the prone jackknife position without anesthetic-associated complications. There was no significant difference between these two groups regarding sex, hemorrhoids grade, operation time, duration of hospital stays, postoperative pain score, analgesic consumption, total postoperative complications, re-admission rate, reoperation rate and follow-up times. The multivariate logistic regression analysis that may contribute to postoperative complications revealed no significant difference for all complications between both groups.
The LigaSure hemorrhoidectomy for elderly patients is safe and effective without significant difference in short-term operative outcomes and all complication rates, compared with younger patients.
本研究旨在评估接受痔切除术的患者年龄与结局之间的关系。
这是一项基于人群的队列研究。回顾性分析了 2015 年 1 月至 2017 年 5 月期间连续接受 LigaSure 痔切除术治疗症状性脱垂痔的患者的数据库。在 1238 例患者中，1075 例年龄在 65 岁以下（第 1 组），163 例年龄在 65 岁或以上（第 2 组）。比较两组患者的基线特征和手术结果。
所有患者均能耐受截石位的整个手术过程，无麻醉相关并发症。两组患者的性别、痔分级、手术时间、住院时间、术后疼痛评分、镇痛药用量、总术后并发症、再入院率、再手术率和随访时间无显著差异。多因素 logistic 回归分析显示，两组患者的所有并发症发生率均无显著差异。
与年轻患者相比，LigaSure 痔切除术治疗老年患者安全有效，短期手术结果和所有并发症发生率无显著差异。
