Abstract:
PURPOSE:Geriatric surgery poses specific challenges due to patient vulnerability in relation to aging. We analyzed perioperative challenges concerning super-elderly patients with breast cancer. METHODS:Between 2013 and 2018, 908 patients with breast cancer were treated surgically. Of these, two patient groups were compared: Group A (≥ 85 years old, n = 34, 3.7%) and Group B (75-84 years old, n = 136, 15%). RESULTS:In Groups A and B, 26.4% and 36.8% of patients lived alone, respectively. Group A patients had higher rates of psychiatric and cardiovascular disease (32.4% and 41.2%) than Group B (8.8% and 16.2%) (p = 0.0009 and p = 0.0031, respectively). There was no marked difference in the type of surgery or length of hospital stay between groups, and most complications involved surgical site disorders. Postoperatively, Group A had a higher rate of delirium (29.4%) than Group B (3.7%) (p < 0.0001). The 30-day postoperative mortality rate was 0, and 76.5% of Group A and 45.6% of Group B patients received no adjuvant therapy (p = 0.0024). CONCLUSIONS:Age alone does not constitute a contraindication for appropriate surgery, although there are some challenges necessary to consider for super-elderly patients.
journal_name
Surg Todayjournal_title
Surgery todayauthors
Ogawa Y,Ikeda K,Watanabe C,Kamei Y,Goto W,Shiraishi C,Tokunaga S,Tsuboguchi Ydoi
10.1007/s00595-019-01812-xsubject
Has Abstractpub_date
2019-10-01 00:00:00pages
843-849issue
10eissn
0941-1291issn
1436-2813pii
10.1007/s00595-019-01812-xjournal_volume
49pub_type
杂志文章相关文献
SURGERY TODAY文献大全abstract::The Japanese Society for the Study of Postoperative Morbidity after Gastrectomy conducted a nationwide questionnaire survey to clarify the current status of reconstruction after gastrectomy. One hundred and forty-five institutions (66%) responded to the survey. The questionnaire dealt with the reconstruction after a d...
journal_title:Surgery today
pub_type: 杂志文章,评审
doi:10.1007/s00595-012-0159-z
更新日期:2012-05-01 00:00:00
abstract::In this study, the risk factors related to intraperitoneal septic complications occurring after hepatectomy (IPSCH) as well as the effect of various perioperative variables on the outcome of IPSCH between 1985 and 1990 were analyzed. Twenty-one of 211 patients (10.0%) developed IPSCH. The findings in the patients with...
journal_title:Surgery today
pub_type: 杂志文章
doi:10.1007/BF00309385
更新日期:1995-01-01 00:00:00
abstract::For vascular occlusive disease, an autologous vein graft is the most suitable conduit for arterial reconstruction. Intimal hyperplasia, resulting from the migration and proliferation of vascular smooth muscle cells, is a major obstacle to patency after vein grafting. The degree to which the function of nitric oxide (N...
journal_title:Surgery today
pub_type: 杂志文章,评审
doi:10.1007/s00595-013-0555-z
更新日期:2014-02-01 00:00:00
abstract::While pulmonary tuberculosis is a very frequent infection, chylothorax is an unusual manifestation of tuberculous disease. A 71-year-old woman with chylothorax is herein presented. The ductus thoracicus was ligated and lymphadenomegaly, which was adjacent to diaphragm, was resected. Based on the findings of various te...
journal_title:Surgery today
pub_type: 杂志文章
doi:10.1007/s00595-007-3739-6
更新日期:2008-01-01 00:00:00
abstract::We report a rare case of four separate gastric ruptures resulting from blunt abdominal trauma that were successfully repaired by primary closure. A 22-year-old man injured in a motorcycle accident was admitted to our hospital where physical and radiological examinations confirmed the need for abdominal exploration. La...
journal_title:Surgery today
pub_type: 杂志文章
doi:10.1007/s005950200201
更新日期:2002-01-01 00:00:00
abstract::We report a case of nontraumatic, spontaneous venous aneurysm of the left axillary vein. This case may represent only the second such case ever reported in the English-language medical literature. Venous aneurysms are often associated with trauma, arteriovenous fistula, or other venous abnormal hemodynamic conditions,...
journal_title:Surgery today
pub_type: 杂志文章
doi:10.1007/s00595-004-2957-4
更新日期:2005-01-01 00:00:00
abstract::In cases of lower rectum-located tumor or severe disease, surgical resection is currently the effective management; however, it also carries increased risks of function loss. The interdisciplinary field of regenerative medicine offers strategies that can potentially restore severely diseased and injured tissues and or...
journal_title:Surgery today
pub_type: 杂志文章
doi:10.1007/s00595-020-02026-2
更新日期:2020-12-01 00:00:00
abstract::To evaluate the influence of potassium ion concentration in an organ preservation solution on lung preservation, four types of solutions were produced. These preservation solutions consisted of sodium and potassium ions on the cation and phosphate ions on the anion with glucose. Contents of solutions were: (1) 155 mmo...
journal_title:Surgery today
pub_type: 杂志文章
doi:10.1007/s005950050104
更新日期:1998-01-01 00:00:00
abstract::Sternal infection is an uncommon but serious complication following cardiac surgery. We report herein three cases of postoperative sternal osteomyelitis successfully treated by omental transfer. Two patients had undergone valve surgery and the other underwent division of an accessory pathway for Wolff-Parkinson-White ...
journal_title:Surgery today
pub_type: 杂志文章
doi:10.1007/BF01676889
更新日期:1994-01-01 00:00:00
abstract::A retrospective analysis was conducted of 778 patients who underwent highly selective vagotomy between 1980 and 1990. Surgery was performed for duodenal ulcers without any complications in 485 (62.3%) patients; for duodenal ulcers with complications such as stenosis, bleeding, or perforation in 270 (34.7%); for combin...
journal_title:Surgery today
pub_type: 杂志文章
doi:10.1007/BF00311565
更新日期:1996-01-01 00:00:00
abstract:PURPOSE:To examine the effect of preoperative administering of a Japanese traditional herbal medicine, Hochu-ekki-to (TJ-41), on immunosuppression induced by surgical stress in patients with gastrointestinal malignancies. METHODS:To monitor the immune functions, the mitochondrial membrane potential (MMP) and natural k...
journal_title:Surgery today
pub_type: 杂志文章
doi:10.1007/s00595-007-3631-4
更新日期:2008-01-01 00:00:00
abstract::There have been no reported cases of xanthogranulomatous cholecystitis with a liver abscess and metastatic endophthalmitis in the literature. There has been only one other case of xanthogranulomatous cholecystitis associated with a liver abscess in Japan prior to the present report. A 53-year-old man was admitted to a...
journal_title:Surgery today
pub_type: 杂志文章
doi:10.1007/s005950200038
更新日期:2002-01-01 00:00:00
abstract::Laparoscopic esophagojejunostomy is a challenging procedure because of its technical difficulty. We herein report a new method involving circular-stapled anastomosis using a hand-sewn suture with four stay-sutures and evaluate its outcomes. Esophagojejunostomy using this method was performed in 36 consecutive patients...
journal_title:Surgery today
pub_type: 杂志文章
doi:10.1007/s00595-019-01867-w
更新日期:2020-03-01 00:00:00
abstract::Although stapling colorectal anastomosis is widely accepted as an alternative for hand-sewn anastomosis, we continue to experience postoperative complications such as anastomotic hemorrhage and leakage, which sometimes lead to serious morbidity or even mortality. To secure stapling colorectal anastomosis, we adopted i...
journal_title:Surgery today
pub_type: 杂志文章
doi:10.1007/s00595-007-3740-0
更新日期:2008-01-01 00:00:00
abstract::Robotic gastrectomy (RG) using the da Vinci Surgical System for gastric cancer was approved for national medical insurance coverage in Japan in April, 2018, and has been used increasingly since. We reviewed the current evidence on RG, open gastrectomy (OG), and conventional laparoscopic gastrectomy (LG) to identify di...
journal_title:Surgery today
pub_type: 杂志文章
doi:10.1007/s00595-019-01875-w
更新日期:2020-09-01 00:00:00
abstract::Twenty-four patients with tracheal lesions were managed by various procedures, including primary anastomosis in 16, tracheoplasty in 2, and a terminal tracheostomy in 6. The patients undergoing anastomosis included 4 with primary tumors, 7 with secondary tumors, and 5 with benign stricture. Except for 2 patients, ther...
journal_title:Surgery today
pub_type: 杂志文章
doi:10.1007/s005950050172
更新日期:1998-01-01 00:00:00
abstract::We report a case of esophageal schwannoma in a 46-year-old woman who presented with rapidly progressive dyspnea and dysphagia. Chest computed tomography showed a large mediastinal mass, which was extrinsically compressing the trachea, widely adjacent to the upper thoracic esophagus. We performed an axillary right thor...
journal_title:Surgery today
pub_type: 杂志文章
doi:10.1007/s00595-006-3436-x
更新日期:2007-01-01 00:00:00
abstract::A case of co-occurrence of a mucoepidermoid carcinoma (MEC) and a squamous cell carcinoma (SCC) in the esophagus is described. The present patient was a 61-year-old man who underwent a curative esophagectomy with a regional lymph node dissection for a MEC in the lower esophagus and a SCC near the esophagogastric junct...
journal_title:Surgery today
pub_type: 杂志文章,评审
doi:10.1007/s005950070104
更新日期:2000-01-01 00:00:00
abstract::The results of previous studies indicate that only CD4+ T cells generated via the indirect pathway play an essential role in causing discordant skin xenograft rejection. The present study was conducted in an attempt to clarify further the roles of effector T cells generated via direct pathways on discordant xenograft ...
journal_title:Surgery today
pub_type: 杂志文章
doi:10.1007/s005950070064
更新日期:2000-01-01 00:00:00
abstract::This report presents the case of a patient with Cowden syndrome who had arteriovenous malformations (AVMs) at the jejunum and the ileum and experienced intestinal bleeding. A 54-year-old Japanese male presented with general fatigue and melena. Endoscopic examinations showed gastrointestinal polyposis from the esophagu...
journal_title:Surgery today
pub_type: 杂志文章
doi:10.1007/s00595-012-0460-x
更新日期:2013-05-01 00:00:00
abstract::Situs inversus totalis refers to an inverted position of part or all of the viscera, which represents a mirror-image of the normal location, and it is a relatively rare condition that occurs in one in 4,000-8,000 people in Japan. We herein report a patient demonstrating a combination of situs inversus totalis, colon c...
journal_title:Surgery today
pub_type: 杂志文章
doi:10.1007/s00595-002-2567-y
更新日期:2003-01-01 00:00:00
abstract:PURPOSE:Gastrointestinal stromal tumors (GISTs) should be surgically resected, even those smaller than 5 cm in size, which is the threshold of clinical malignancy for submucosal tumors (SMTs) in the gastrointestinal tract. This study reviewed the use of laparoscopic surgery for gastric partial resection of GISTs or SMT...
journal_title:Surgery today
pub_type: 杂志文章
doi:10.1007/s00595-011-0072-x
更新日期:2012-06-01 00:00:00
abstract:PURPOSE:The original double-stapling technique (DST) using a standard linear stapler horizontally can be difficult in patients with a narrow pelvis or an ultralow anastomosis. We review our experience of performing a modified DST (IO-DST) with vertical division of the rectum achieved using an endostapler. METHODS:We r...
journal_title:Surgery today
pub_type: 临床试验,杂志文章
doi:10.1007/s00595-005-3088-2
更新日期:2006-01-01 00:00:00
abstract::A comparison was made of the histological findings for myocardial tissue of heterotopic transplanted rat hearts administered with FK506. ACI rats were used as donors and Lewis rats as recipients. FK506 was used for 6 days except for group I (control group). Group II received 0.32 mg/kg/day of FK506 from the day of ope...
journal_title:Surgery today
pub_type: 杂志文章
doi:10.1007/BF02032897
更新日期:1994-01-01 00:00:00
abstract:PURPOSE:We developed a technique of jejunal pouch interposition with a fundic-like jejunal plication (JPI-FP) for reconstruction after total gastrectomy (TG) for gastric cancer. The aim of this study was to investigate the advantages of JPI-FP over Roux-en-Y reconstruction (R-Y). METHODS:Twenty-two patients who had un...
journal_title:Surgery today
pub_type: 杂志文章
doi:10.1007/s00595-005-3008-5
更新日期:2005-01-01 00:00:00
abstract::The effects of changing the calcium content of a continuous warm hyperkalemic crystalloid cardioplegia (CWCP) were investigated in an isolated rat heart preparation. The hearts were divided into eight groups of six each. A control group consisted of fresh nonarrested hearts and the remaining seven groups consisted of ...
journal_title:Surgery today
pub_type: 杂志文章
doi:10.1007/BF02482780
更新日期:1999-01-01 00:00:00
abstract::We describe herein the postoperative renal functions of patients who required a suprarenal aortic cross-clamp during abdominal aortic surgery. Seven patients required a unilateral suprarenal aortic cross-clamp (group A) and six patients required a bilateral suprarenal clamp (group B). Eighty-three patients who require...
journal_title:Surgery today
pub_type: 杂志文章
doi:10.1007/PL00010043
更新日期:2000-01-01 00:00:00
abstract:PURPOSE:The precise role of downstaging or bridge therapy for cirrhotic patients with hepatocellular carcinoma (HCC) beyond or within the Milan criteria (MC) before living donor liver transplantation (LDLT) remains undefined. METHODS:We conducted a single-center, retrospective cohort study of 40 cirrhotic patients wit...
journal_title:Surgery today
pub_type: 杂志文章
doi:10.1007/s00595-020-02095-3
更新日期:2020-08-07 00:00:00
abstract:PURPOSE:Global DNA hypomethylation plays an important role in genomic instability and carcinogenesis. The long interspersed nucleotide element-1 (LINE-1) methylation level is a good surrogate marker of the global DNA methylation level. Previously, we demonstrated a strong relationship between LINE-1 hypomethylation and...
journal_title:Surgery today
pub_type: 杂志文章,评审
doi:10.1007/s00595-017-1539-1
更新日期:2017-12-01 00:00:00
abstract::We report herein the case of a 75-year-old man who developed severe tetanus 24 h after the resection of a gangrenous perforated small intestine. It seemed that the tetanus was caused by a spillage of the intestinal contents harboring Clostridium tetani; however, this was not identified by a culture. The diagnosis of t...
journal_title:Surgery today
pub_type: 杂志文章
doi:10.1007/BF02482988
更新日期:1999-01-01 00:00:00