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- IRMS - Nicolae Testemitanu SUMPh
- REVISTE MEDICALE NEINSTITUȚIONALE
- The Moldovan Medical Journal
- The Moldovan Medical Journal
- The Moldovan Medical Journal 2018
- The Moldovan Medical Journal, Vol. 61, September 2018 AIC Congress Issue
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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