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題 名 | Clinical Factors Affecting the Surgical Risks for Resection of Colorectal Cancer on Elderly Patients-80 or Older=80歲以上老人接受結腸直腸癌切除的危險因素 |
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作 者 | 陳明仁; 許自齊; 許希賢; 劉建國; | 書刊名 | 中華民國大腸直腸外科醫學會雜誌 |
卷 期 | 8:2 1997.06[民86.06] |
頁 次 | 頁41-49 |
分類號 | 416.245 |
關鍵詞 | 老人; 結腸直腸癌切除; Elderly; Surgical risks; Colorectal cancer; Lung complication albumin; |
語 文 | 英文(English) |
英文摘要 | 目的:本系列為針對80歲以上的老人,接受結腸直腸癌切除的回溯性研究。其目 的在於:(1) 探討臨床數據,以瞭解影響死亡率之因素;(2) 分析病患術前之內科疾病和術 後心肺併發症之關連。 結果:此研究總共有 81 位病患 (包括 42 位男性,38 位女性 ), 平均年齡為 84.2 歲 (由 80 至 97 歲 ),其手術死亡率為 16 %。其中,接受例行手術患 者之死亡率為 7.4 %, 腸阻塞患者之死亡率增為 19 %, 而腸穿孔患者之死亡率則高達 83.3 %,其差異具有統計學上的意義。 本系列的死亡率較其他文獻為高,其原因在於樣本 中所包括的急症手術患者比較高之故。至於例行性結腸直腸癌切除的危險性並不高。臨床數 據顯示,死亡患者之血清血蛋白和淋巴球總數的平均值,和存活患者平均值比較起來有意義 地偏低 (p<0.05); 血清白蛋白小於 3 gm/dl 和淋巴球總數小於 1000/mm �蘆滷w者,其死 亡率顯著地升高。性別,血紅素數值,腫瘤之分期、分化與位置,手術方法,手術時間和出 血量,對死亡率則沒有明顯的影響。在術後的心肺併發症方面,本系列的分析發現,患者術 前的內科疾病和術後的心肺併發症沒有統計學上顯著的關連,但是罹患肺部疾病的患者,有 41 %在術後發生肺部併發症,值得注意。 tal lymphocyte count (TLC) also showed significant difference between fatal and survival groups (785.4 ± 380.0vs 1422.0 ± 655.5/mm ��, p<0.05). TLC less than 1000/mm �� was significantly associated with higher mortality rate. Lung complications predominated the causes of postoperative mortality and major morbidity. Approximately 41% of the patients with pre-existing lung problems developed lung complications in this series. In addition, our study shows that the mortality rate was however not influenced by staging of cancer, distribution of cancer nor type and intent of operation. The length of operation time and blood loss during operation were higher in the fatal group, but did not reach a statistically significant difference. SUMMARY: 1) The colon perforation was a major risk factor leasing to postoperative mortality and the colon obstruction caused less fatalities as compared to colon perofration. Elective surgery can be done with reasonable mortality rate. 2) Hypoalbuminemia and decreased total lymphocyte count were associated with higher mortality rate on these elderly patients. 3) The close correlation of the preoperative lung disorders and the postoperative lung complications should alert the surgeons to improve patients' coexisted problems prior to the operations. |
本系統中英文摘要資訊取自各篇刊載內容。