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.
Description:
Grigore T. Popa University of Medicine and Pharmacy, Iași, Romania
Regional Institute of Oncology, Iași, Romania, 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