Minimally invasive surgery and one-day care

Česká verzia

Authors: Lukáš Havlůj ¹; Vladimír Teplan ¹; Jan Bafrnec ¹; Petr Waldauf ²; Robert Gürlich ¹
Authors place of work: Chirurgická klinika 3. LF UK a FN Královské Vinohrady, Praha ¹; Klinika anesteziologie a resuscitace 3. LF UK a FN Královské Vinohrady, Praha ²
Published in the journal: Čas. Lék. čes. 2020; 159: 22-25
Category: Original Article

Summary

Due to population aging in developed countries, it has become necessary to prepare a functional health care plan for the elderly. One of the possibilities to improve postoperative outcomes and recovery in elderly patients is to perform common surgical procedures in the regime of one-day surgery.

We compared elderly patients who underwent surgery in a large university hospital with elderly patients who underwent surgery in a facility dedicated to one-day surgery. The homogeneity and clinical outcomes of the two groups were statistically analyzed. Complications were assessed according to the Clavien-Dindo classification.

There were no statistically significant differences in demographic data and pre-operative risk assessment (ASA). The one-day surgery group had fewer complications and a shorter average hospital stay.

Advanced age is not the only criterion for assessing the biological state of the patient and therefore does not always necessitate surgical care in a university hospital setting with a high volume of acute and complicated cases. Many elderly patients will benefit from a more individualized approach and healthcare facilities that specialize solely in elective procedures. When indicating elderly patients for one-day surgery, their health status is more important than their calendar age.

Keywords:

one-day surgery – mini-invasive surgery – elderly patients

Zdroje

Kasalický M, Martínek L, Penka I. Je laparoskopická kolorektální chirurgie bezpečná i u starších pacientů? Rozhledy v chirurgii 2018; 97(1): 21–26.
Hoch J. Chirurgie ve vyšším věku. Rozhledy v chirurgii 2018; 97(1): 3–4.
Carlomagno N, Tammaro V, Scotti Aet al. Is day-surgery laparoscopic cholecystectomy contraindicated in the elderly? Results from a retrospective study and literature review. Int J Surg 2016; 33(1): 103–107
Ahmad NZ, Byrnes G, Naqvi SA. A meta-analysis of ambulatory versus inpatient laparoscopic cholecystectomy. Surg Endosc 2008; 22(9): 1928–1934.
Haque M, Sartelli M, McKimm J, Abu Bakar M. Health care-associated infections – an overview. Infect Drug Resist 2018; 11: 2321–2333.
Wang L, Baser O, Wells P et al. Benefit of early discharge among patients with low‐risk pulmonary embolism. PLoS One 2017; 12(10): e0185022.
Pannucci CJ, Shanks A, Moote MJ et al. Identifying patients at high risk for venous thromboembolism requiring treatment after outpatient surgery. Ann Surg 2012; 255(6): 1093–1098.
Canet J, Raeder J, Rasmussen LS et al. Cognitive dysfunction after minor surgery in the elderly. Acta Anaesthesiol Scand 2003; 47: 1204–1210.
Loizides S, Gurusamy KS, Nagendran M et al. Wound infiltration with local anaesthetic agents for laparoscopic cholecystectomy. Cochrane Database Syst Rev 2014; 12(3): CD007049.
Gurusamy KS, Nagendran M, Guerrini GP et al. Intraperitoneal local anaesthetic instillation versus no intraperitoneal local anaesthetic instillation for laparoscopic cholecystectomy. Cochrane Database Syst Rev 2014; 13(3): CD007337.
Hua J, Gong J, Yao L et al. Low-pressure versus standard-pressure pneumoperitoneum for laparoscopic cholecystectomy: a systematic review and meta-analysis. Am J Surg 2014; 208(1): 143–150.
Rohan D, Buggy DJ, Crowley S et al. Increased incidence of postoperative cognitive dysfunction 24 hr after minor surgery in the elderly. Can J Anaesth 2005; 52: 137–142.
Grifasi C, Petrocceli M, Di Capua F et al. Geriatric day surgery: challenge or opportunity? BMC Surgery 2013; 13(2): A24.
Amato B, Compagna R, Fappiano F et al. Day-surgery inguinal hernia repair in the elderly: single centre experience. BMC Surgery 2013; 13(2): S28.
The Hernia Surge Group. International guidelines for groin hernia management. Hernia 2018; 22(1): 1–165.
Majholm B, Engbaek J, Bartholdy J et al. Is day surgery safe? A Danish multicentre study of morbidity after 57,709 day surgery procedures. Acta Anaesthesiol Scand 2012; 56(3): 323–331.
Mattila K, Vironen J, Eklund A et al. Randomized clinical trial comparing ambulatory and inpatient care after inguinal hernia repair in patients aged 65 years or older. Am J Surg 2011; 201(2): 179–185.

Štítky

Addictology Allergology and clinical immunology Angiology Audiology Clinical biochemistry Dermatology & STDs Paediatric gastroenterology Paediatric surgery Paediatric cardiology Paediatric neurology Paediatric ENT Paediatric psychiatry Paediatric rheumatology Diabetology Pharmacy Vascular surgery Pain management Dental Hygienist

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