Häring R U, Waninger J, Farthmann E H
Abteilung Allgemeine Chirurgie mit Poliklinik, Universität Freiburg/Br.
Fortschr Med. 1993 Mar 10;111(7):98-101.
The increased risk of morbidity and mortality associated with abdominal surgery in the aged is determined by the number and severity of accompanying diseases and the emergency situation. Age per se is not a risk factor. Limitation of the risk requires an age-oriented treatment plan, which must take account of the specific problems of the geriatric patient in the pre-, intra-, and postoperative phases. Emergency operations should be avoided as far as possible. The aim of geriatric surgery is not merely to prolong life, but also to secure adequate quality of life. To accomplish this, it may occasionally be necessary to forgo surgical radicality in favor of a palliative procedure. The results of abdominal surgery in the elderly are presented on the basis of exemplary cases of stomach, biliary, colonic and hernial surgery.
老年人腹部手术相关的发病和死亡风险增加取决于伴随疾病的数量和严重程度以及紧急情况。年龄本身并不是一个风险因素。限制风险需要一个以年龄为导向的治疗计划，该计划必须考虑老年患者在术前、术中和术后阶段的具体问题。应尽可能避免急诊手术。老年外科手术的目的不仅是延长生命，而且是确保足够的生活质量。为了实现这一目标，有时可能有必要放弃手术根治性而选择姑息性手术。本文根据胃、胆道、结肠和疝手术的典型病例介绍了老年腹部手术的结果。
