RISK OF ELECTIVE SURGERY OF COLORECTAL-CARCINOMA IN THE ELDERLY

被引：11

作者：

HESTERBERG, R

SCHMIDT, WU

OHMANN, C

ROHER, HD

SATTLER, J

机构：

[1] Department of General and Trauma Surgery, Centre of Operative Medicine I, Heinrich Heine University, Düsscldorf

[2] Department of Theoretical Surgery, Surgical University Clinic II, Innsbruck

来源：

DIGESTIVE SURGERY | 1991年 / 8卷 / 01期

关键词：

COLORECTAL CARCINOMA; ELECTIVE SURGERY; COMPLICATIONS AND MORTALITY; AGE-RELATED;

D O I：

10.1159/000171990

中图分类号：

R57 [消化系及腹部疾病];

学科分类号：

摘要：

In a retrospective study 403 patients with colorectal carcinoma and elective gut resection were investigated with respect to postoperative complications and mortality depending on the age and accompanying risk factors (pulmonary diseases, cardiac diseases, diabetes mellitus, renal failure, arterial circulatory disturbances). Postoperative mortality was 1.3% in younger patients (< 65 years), 5.8% in older patients (65-76 years) and 8.2% in old patients (> 75 years). In the presence of one risk factor none of the younger but 10% of the older and old patients died postoperatively. In the presence of two or more risk factors mortality was 0, 12.5 and 15%, respectively. In a multivariate analysis age alone showed no statistically significant influence on the lethal outcome. The important fact for the higher mortality not only in the old but already in the older patients was the presence of risk factors.

引用

页码：22 / 27

页数：6

共 32 条

[1]

Bundesminister fur Jugend, Familie, Frauen und Gesundheit, Daten Des Gesundheitswescns, 157, (1987)

[2]

Cutler S.J., Young J.L., The third national cancer survey: Incidence data. Cancer morbidity, Natl Cancer Inst Monogr, 4, pp. 1-454, (1975)

[3]

Horovitz I.L., Huber M., Cancer of the colon: A study of age related incidence, Dis Colon Rectum, 23, 2, pp. 76-79, (1980)

[4]

Enblad P., Adami H.O., Bergstrom R., Glimelius B., Kruscmo U., Pahlman L., Improved survival of patients with cancer of the colon and rectum?, J Natl Cancer Inst, 80, pp. 586-591, (1988)

[5]

Rdher H.D., Chirurgie im hoheren Lebensalter: Beurteilungskri-terien fur die Operationsindikation, Chirurg, 55, pp. 75-78, (1984)

[6]

Ohmann C., Lorenz W., Stoltzing H., Thon K., Grundlagen der Risikoforschung in der Chirurgie: Definition, Berechnung und klinische Anwendung auf das Problem der oberen Gastrointesti-nalblutung, Chirurg, 58, pp. 344-351, (1987)

[7]

Boyd J.B., Bradford B., Watne A., Operative risk factors of colon resection in the elderly, Ann Surg, 192, pp. 743-746, (1980)

[8]

Baumgartner W., Probleme der Allgemeinchirurgic im hohen Lebensalter, Chirurg, 43, pp. 148-151, (1972)

[9]

Kraas E., Schwermann R., Henneberg T., Alter als Risikofaktor beim chirurgischen Eingriff: Gibt es verbindliche Grenzen?, Lan-Genbecks Arch Chir, 361, pp. 264-271, (1983)

[10]

Greenburg A.G., Saik R.P., Pridham D., Influence of age on mortality of colon surgery, Am J Surg, 150, pp. 65-69, (1985)

← 1 2 3 4 →