Title: Perioperative management for elderly patients undergoing laparoscopic gastric surgery
Abstract: Objective To explore perioperative management for elderly patients undergoing laparoscopic gastric surgery and safety and feasibility of laparoscopic gastric surgery for elderly patients. Methods The clinical data of 280 elderly patients( ≥70 years) with gastric cancer undergoing gastrectomy from June 2009 to April 2014 were retrospectively analyzed. Of the patients,163 cases underwent laparoscopic gastrectomy( laparoscopic group) and the other 117 cases underwent traditional open gastrectomy( open surgery group).The general data,intraoperative and postoperative variables of the two groups were compared. Results There were no significant differences between the two groups in age,sex distribution,clinical and pathological staging,pathological type,tumor location,mode of operation and preoperative complications( P 0. 05). The average operative time was longer in laparoscopic group compared with open surgery group,but there were no significant differences( P 0. 05). The average intraoperative blood loss,pull tube time,postoperative ambulation time,feeding time,ventilation time,average length of hospital stay and incidence of postoperative cardiopulmonary complications were all significantly reduced in laparoscopic group compared with open surgery group. There were significant differences( P 0. 05). Conclusions Reasonable perioperative management is critical to ensure the success of laparoscopic gastric surgery for elderly patients. As long as emphasis is made on treatment of preoperative complications,use of minimally invasive surgical techniques,take individual operation mode,and prevention of postoperative complications in elderly patients with gastric cancer,laparoscopic gastric surgery is safe and feasible for elderly patients and has obvious advantages compared with traditional open gastrectomy.
Publication Year: 2014
Publication Date: 2014-01-01
Language: en
Type: article
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