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題名 | 老年人的腹腔鏡手術=Laparoscopic Surgery in the Elderly |
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作者 | 李威傑; | 書刊名 | Medical Journal of South Taiwan |
卷期 | 3:1 2007.06[民96.06] |
頁次 | 頁1-5 |
分類號 | 417.831 |
關鍵詞 | 老年人; 腹腔鏡手術; Elder; Laparoscopic surgery; |
語文 | 中文(Chinese) |
中文摘要 | 隨著文明世界的高齡化,老年人已是最常接受手術的族群,近年來發展迅速的腹腔鏡手術也已克服了一些發展期的限制,可以充分的應用於老年人。但是手術時要特別注意老年人各種器官老化,對併發症忍耐性低的特性,才能順利執行老年人的腹腔鏡手術。手術要特別注意避免在學習曲線中執行老年人的腹腔鏡手術,並避免長時間、高壓力氣腹對老年人生理造成的影響。由於腹腔鏡手術的低侵襲性,對老年人腹腔鏡手術有很大的好處,除了可避免老年人術後的肺部併發症,更可以減少因疼痛所導致的譫妄發生比例。 |
英文摘要 | Elders were the most common population undergoing surgery because modern society is aging. The rapid advancement in laparoscopic surgery has overcome some limitations in learning period and can be fully applied in the elder patients now. However, aging of organs cause higher prevalence of chronic diseases in the elderly and the elderly are less tolerant to surgical complication. To control these physiologic characters of the elderly is the base of performing a successful laparoscopic surgery in this population. We should also avoid performing laparoscopic surgery for the elderly during learning curve period and watch out the adverse reaction during a prolonged pneumoperitoneum condition. Due to the nature of minimally invasiveness, laparoscopic surgery has more advantages in the elderly, including reducing postoperative pulmonary complication and avoiding the development of postoperative delirium caused by pain. |
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