Elective right hemicolectomy in a 93-year-old patient with symptomatic colorectal carcinoma
Authors:
Ivana Švadlenková; Robert Gürlich
Authors‘ workplace:
Chirurgická klinika 3. LF UK a FN Královské Vinohrady, Praha
Published in:
Čas. Lék. čes. 2020; 159: 31-32
Category:
Case Report
Overview
We present a case of a 93-year-old patient with colorectal carcinoma indicated to right hemicolectomy. Shortly before planned surgery patient’s condition was complicated by pulmonary embolism, deterioration and protracted bleeding from the tumor. After careful internal and preoperative preparation patient underwent right hemicolectomy with uncomplicated course of hospitalization and transferred back to internal department to internal, rehabilitation and nutritional care. Thanks to intensive perioperative care and despite the patient's high age, the patient's quality of life has not decreased in any way and enjoys good health.
Keywords:
geriatric patient – colorectal surgery – colorectal carcinoma
Sources
- Boselli C, Cirocchi R, Gemini A et al. Surgery for colorectal cancer in elderly: a comparative analysis of risk factor in elective and urgency surgery. Aging Clin Exp Res 2017; 29(1): 65–71.
- Vacante M, Cristaldi E, Basile F et al. Surgical approach and geriatric evaluation for elderly patients with colorectal cancer. Updates Surg 2019; 71(3): 411–417.
- Morgan B, Goode V. Strategies to predict and manage the risk of post-operative delirium in the elderly surgical patient. Geriatric Nursing 2018; 39(4): 487–488.
Labels
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 managementArticle was published in
Journal of Czech Physicians
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