Physiopathology and clinical considerations of laparoscopic surgery in the elderly
Autor: | Luciano Tracia, Angelo Tracia, Antonino Buffone, Pietro Caglià, Amodeo C, Luca Amodeo, Massimiliano Veroux |
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Rok vydání: | 2016 |
Předmět: |
Laparoscopic surgery
medicine.medical_specialty Health Services for the Aged medicine.medical_treatment Conventional surgery 030230 surgery 03 medical and health sciences Elderly 0302 clinical medicine Postoperative Complications Pneumoperitoneum Geriatric population medicine Humans Laparoscopy Aged medicine.diagnostic_test business.industry General surgery Abdominal Wall Health technology General Medicine Carbon Dioxide medicine.disease Dissection Italy 030211 gastroenterology & hepatology Surgery business surgery Carbon dioxide pneumoperitoneum |
Zdroj: | International journal of surgery (London, England). 33 |
ISSN: | 1743-9159 |
Popis: | Objective The marked improvements in medical technology and healthcare, lead an increasing number of elderly patients to take advantage of even complex surgical. Recently, laparoscopic surgery has been accepted as a minimally invasive treatment to reduce the morbidity after conventional surgery, and a number of studies have demonstrated the feasibility of laparoscopy with significant advantages also in the elderly. On the other side, the laparoscopic procedure has some drawbacks, including prolonged operation time and impact of carbon dioxide pneumoperitoneum on circulatory and respiratory dynamics. This paper will review the physiopathological implications of laparoscopy, as well as the current literature concerning the most common laparoscopic procedures that are increasingly performed in elderly patients. Materials and methods A systematic review of the current literature was performed using the search engines EMBASE and PubMed to identify all studies reporting the physiopathological implications of laparoscopy in the elderly. The MeSH search terms used were "laparoscopy in the elderly", "physiopathology of laparoscopy", and "pneumoperitoneum". Multiple combinations of the keywords and MeSH terms were used with particular reference to elderly patients. Results Although laparoscopy is minimally invasive in its dissection techniques, the increased physiologic demands present particular challenges among elderly patients. Conclusions Laparoscopy and its safety in the elderly patients remains a challenge and the evaluation of this approach is therefore mandatory. Although many studies have demonstrated the applicability and advantages of the laparoscopy also in the geriatric population, with low rates of morbidity and mortality, in elderly patients undergoing general surgical procedures the physiologic demands of laparoscopy should be carefully considered. |
Databáze: | OpenAIRE |
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