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Please use this identifier to cite or link to this item: http://hdl.handle.net/20.500.12710/9855
Title: Evolution of the elderly surgical oncologic patient. Case Analysis
Authors: Pătrășcanu, Emilia
Negrescu, Delia
Constantineanu, Bianca
Boca, Roxana
Ristescu, Irina
Grigoraș, Ioana
Keywords: old oncologic patient;perioperative management
Issue Date: 2018
Publisher: The Scientific Medical Association of the Republic of Moldova
Citation: PĂTRĂȘCANU, Emilia, NEGRESCU, Delia, CONSTANTINEANU, Bianca, et al. Evolution of the elderly surgical oncologic patient. Case Analysis. In: The Moldovan Medical Journal. 2018, vol. 61 (AIC congress issue), september, p. 18. ISSN 2537-6381.
Abstract: Introduction: The old (≥65 years) patient is common in modern surgery and implies complex challenges regarding the perioperative management and outcome. Objective: The analysis of epidemiological and outcome data in old oncologic patients submitted to surgery. Method: The retrospective observational study included all old oncologic patients submitted to surgery between 1.01-31.12.2017 in IRO Iași. Recorded parameters: age, data about cancer (organ, stage), co-morbidities, ASA score, data about surgery (organ, type, minor/major, duration), type of anesthesia, ICU lenght of stay, complications and outcome. Statistical analysis was performed with SPSS and MEDCALC. Results: The study group included 971 patients ≥65 years, which represent 23% of all oncological patients submitted to surgery during 2017 in IRO Iași. 67% pts were between 65-74 years. 498 pts (51%) had digestive cancer. 577 pts (60%) were ASA III. 939 pts (97%) had general anesthesia. In 502 pts (81%) surgery was performed with the intent to cure. In 268 pts (26%) total resection of single/multiple organs was performed. Mean duration of surgery was 127(10-450) minutes. 35 pts (4%) needed postoperative mechanical ventilation. The most frequent postoperative complication was renal failure (80 pts, 8.2%). 6 patients (0.6%) died. Conclusions: The old oncologic patient is frequently submitted to major, long-lasting surgery with the intent to cure. The constant application of multiple strategies in order to optimize the perioperative course results in low postoperative complications and mortality.
metadata.dc.relation.ispartof: The Moldovan Medical Journal: The 5th International Congress of the Society of Anesthesiology and Reanimatology of the Republic of Moldova, 16th Edition of the International Course of Guidelines and Protocols in Anesthesia, Intensive Care and Emergency Medicine, 28th Meeting of the European Society for Computing and Technology in Anesthesia and Intensive Care September 27-29, 2018, Chisinau, the Republic of Moldova
URI: http://moldmedjournal.md/wp-content/uploads/2018/09/61-4-ATI-Congres.pdf
http://repository.usmf.md/handle/20.500.12710/9855
ISSN: 2537-6381
2537-6373
Appears in Collections:The Moldovan Medical Journal, Vol. 61, September 2018 AIC Congress Issue

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