查詢結果分析
相關文獻
- Analysis of Complications after Loop Stoma Closure in Elderly Patients
- 老年人燙傷
- Risk of Resection for Colorectal Cancer in the Very Old
- Patient Controlled Analgesia (PCA) in the Elderly--A Retrospective Study in the Medical Center
- Surgical Outcome of Colorectal Adenocarcinoma in Patients with Liver Cirrhosis: A Study of 76 Consecutive Patients
- Risk Factors Affecting Adverse Outcomes of Cardiac Surgery in Patients Aged 70 Years and Older
- Risks Factors for Postoperative Mortality after Colorectal Cancer Resection
- 臺灣北部地區中高齡者的大腸直腸癌篩檢行為意向
- 大腸直腸癌篩檢於老年人之應用
- Risk Factors of Post-operative Mortality in Patients Aged 80 Years or Older with Colorectal Cancer
頁籤選單縮合
題 名 | Analysis of Complications after Loop Stoma Closure in Elderly Patients=老年人關閉造口之併發症分析 |
---|---|
作 者 | 許家榮; 鄭厚軒; 邵彥誠; 林俊余; 陳志典; 陳明正; 蔣鋒帆; 陳周誠; 馬秀峰; 趙德馨; 陳周斌; | 書刊名 | 中華民國大腸直腸外科醫學會雜誌 |
卷 期 | 31:1 2020.03[民109.03] |
頁 次 | 頁18-25 |
分類號 | 417.8244 |
關鍵詞 | 大腸直腸癌; 關造口; 老年人; 併發症; Colorectal cancer; Stoma reversal; Stoma closure; Elderly; Complications; |
語 文 | 英文(English) |
中文摘要 | 目的:隨著國民平均年齡上升,許多老年人接受大腸直腸癌切除合併保護性造口手術。關於關造口後發生併發症有許多危險因子曾被報導過,然而針對老年人關造口併發症的危險因子沒有被探討過,因此本研究試著分析危險因子。方法:台中榮民總醫院共有115位大於65歲病患於2011至2016年間接受大腸直腸癌切除合併保護性造口手術,之後再接受關造口手術,其中有94位與關造口術後沒有併發症,而有21位關造口術後發生併發症,此篇文章針對這115位病患進行回顧性研究分析。結果:在兩組病人中關造口間隔時間差不多(有併發症組:100天;沒併發症組:93.5天)。有併發症組在手術後到進食時間以及總住院天數明顯較長。關造口後併發症機率為18.2%。最常見併發症分別是術後腸阻塞,傷口感染及肺炎。多變相邏輯思回歸分析顯示只有ASA score大於2分能顯著預測術後會發生併發症。結論:在接受大腸直腸癌合併保護性造口手術的65歲以上老年人中,手術到關造口的間隔時間約為三個月。而比起更老的年齡(大於80歲),ASA score大於兩分反而較能做為關造口後有併發症的預測因子。 |
英文摘要 | Purpose. Because their lifespans had increased, elderly patients undergo more colorectal cancer surgery with diverting stoma. Many risk factors of postoperative complications after stoma closure were reported. However, the risk factors of postoperative complications in the elderly are not well understood. The aim of this study was to evaluate the predictive factors of postoperative complications. Methods. Between January 2011 and December 2016, 115 patients underwent colorectal cancer surgery with diverting loop stoma and then underwent stoma closure in Taichung Veterans General Hospital. Ninety-four patients had no complications (no-complications group [NCG]) after stoma closure surgery, but 21 patients (complications group [CG]) did. We reviewed and analyzed the clinicopathologic factors associated with the morbidity of stoma closure. Results. The time to closure of the stoma was comparable in both groups: 100 days in the CG vs. 93.5 days in the NCG. The time to feeding and the hospital stay after stoma closure was longer in the CG. The complication rate after stoma closure was 18.2%. The most frequent complications were postoperative ileus, wound infection, and pneumonia. Multivariate logistic regression analysis showed that only an American Society of Anesthesiologists (ASA) Score > 2 was a significant predictor for postoperative complications (odds ratio [OR]: 3.12; 95% confidence interval [CI]: 1.13-8.66; p = 0.03). Conclusions. For patients > 65 years old who underwent colorectal cancer surgery and diverting loop stoma, the duration to stoma closure was about 3 months. An ASA score > 2 rather than being extremely elderly (> 80 years old) predicted post-stoma closure complications. |
本系統中英文摘要資訊取自各篇刊載內容。