WAYS OF INDICATION RISE FOR OPERATION IN ELDERLY AND SENILE AGED PATIENTS WITH STOMACH CANCER
https://doi.org/10.24884/0042-4625-2014-173-2-18-22
Abstract
An article presents an analysis of treatment of 113 patients (aged from 60 to 91 years old) with stomach cancer. On this basis, an algorithm of examination of given age group was developed. Preoperative diagnostics wasn’t directed only to an establishment of prevalence, a stage of main process. At the same time, it was aimed to determination and correction of accompanying somatic pathology, which required an application of multidisciplinary approach. An echocardiography was used for a functional condition assessment of cardiovascular and respiratory systems. The strategy allowed the indication rise for operation up to 96,5% in given group of patients.
About the Authors
K. V. Pavelets
Municipal Mariinsky hospital
Russian Federation
Russian Federation
M. Yu. Lobanov
Municipal Mariinsky hospital
Russian Federation
Russian Federation
O. G. Vavilova
Municipal Mariinsky hospital
Russian Federation
Russian Federation
E. F. Latsko
Municipal Mariinsky hospital
Russian Federation
Russian Federation
References
1. Давыдов М. И., Тер-Ованесов М. Д., Маховский В. В. Состояние проблемы и пути оптимизации тактики хирургического лечения больных раком желудка старшей возрастной группы // Хирургия. 2008. № 10. С. 73-80.
2. Мерабишвили В. М. Рак желудка: эпидемиология, профилактика, оценка эффективности лечения на популяционном уровне // Практ. онкол. 2001. № 3 (7). С. 3-8.
3. Шестопалова И. М., Сибатулина Э. С. Факторы риска ИБС у онкологических больных // Материалы IV съезда онкологов и радиологов СНГ. 2006. С. 352.
4. Общая врачебная тактика по Д. Нобелю / Под ред. Дж.Нобеля. М.: Практика, 2005. Кн. 1. 414 с.
5. Pacelli F., Bellantone R. Risk factors in relation to postoperative complications and mortality after total gastrectomy in aged patients // Am. Surg. 1991. Vol. 57. P. 341-345.
6. Korenaga D., Moriguchi S., Baba H. et al. Surgery for gastric carcinoma is feasible for patients over 80 year age // World J. Surg. 1991. Vol. 15. P. 642-648.
7. Timiras P. Physiological basis of aging and geriatrics // Boca Raton, CRC Press. 1988. P. 150.
Review
For citations:
Pavelets K.V., Lobanov M.Yu., Vavilova O.G., Latsko E.F. WAYS OF INDICATION RISE FOR OPERATION IN ELDERLY AND SENILE AGED PATIENTS WITH STOMACH CANCER. Grekov's Bulletin of Surgery. 2014;173(2):18-22. (In Russ.) https://doi.org/10.24884/0042-4625-2014-173-2-18-22
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