高齢者の大腸手術後の合併症の検討 -特に術後精神病を中心に-

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  • コウレイシャ ノ ダイチョウ シュジュツゴ ノ ガッペイショウ ノ ケントウ トクニ ジュツゴ セイシンビョウ オ チュウシン ニ
  • Post-operative Complications of Patients Over the Age of 80 after Large Bowel Resection : -with Special Reference to Post-operative Mental Confusion-

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Nine colon cancer patients over the age of 80 (aged group) treated between 1991 to 1998 were studied in terms of activity of daily living (ADL) and pre- and post-operative complications, with special reference to post-operative mental confusion. This data was compared with that obtained from thirteen cancer patients under the age of 65 (control group). Among nine patients in the aged group, underlying disorders were confirmed in eight cases with a total of twenty diseases. Four out of nine observed moderately deteriorated degree of ADL pre-operatively. All cases in aged group could discharge hospital, however, of the postoperative complications, six out of nine suffered from mental confusion. On the contrary, in the control group, one out of thirteen experienced mental confusion. With colon cancer patients over the age of 80, surgical intervention can be adopted safely. However, the incidence of post-operative mental confusion seems so high, close observation is necessary. 55

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