6 research outputs found
Postoperative functional results of older patients after pancreas and liver surgery
In clinical observational studies, overall survival and cancer-specific survival are usually considered the gold standard endpoints. Equally or even more important for older patients are patient-reported outcomes, defined as a set of patient-centered measures that evaluate physical, mental, and social health.
This is particularly important due to the complexity of surgical treatment and the higher risk of postoperative morbidity and mortality. The studies showed that after these operations, the quality of life (QoL) decreases and that is improving with time. After 6 months there was no difference in QoL between younger and older patients. Nevertheless, the results refer mostly to the group of patients who survived the follow-up period and had no recurrence. Therefore, age itself should not be a contraindication for pancreatic or liver surgery. QoL of patients not qualified for surgery decreased constantly
Postoperative functional results of older patients after pancreas and liver surgery
In clinical observational studies, overall survival and cancer-specific survival are usually considered the gold standard endpoints. Equally or even more important for older patients are patient-reported outcomes, defined as a set of patient-centered measures that evaluate physical, mental, and social health.
This is particularly important due to the complexity of surgical treatment and the higher risk of postoperative morbidity and mortality. The studies showed that after these operations, the quality of life (QoL) decreases and that is improving with time. After 6 months there was no difference in QoL between younger and older patients. Nevertheless, the results refer mostly to the group of patients who survived the follow-up period and had no recurrence. Therefore, age itself should not be a contraindication for pancreatic or liver surgery. QoL of patients not qualified for surgery decreased constantly
Usefulness of eight screening tools for predicting frailty and postoperative short-and long-term outcomes among older patients with cancer who qualify for abdominal surgery
Short- and long-term predictive power of the preoperative Geriatric Assessment components in older cancer patients undergoing high-risk abdominal surgery
Variations in branching patterns of internal iliac artery according to Adachi's classification - Literature review and presentation of a case
Background: Internal iliac artery begins at the bifurcation of the common iliac artery and divides into anterior and posterior trunks. Comprehension of the location and anatomical variations of this vessel is essential in performing safe pelvic procedures without operative complications. The aim of our study is to analyze the variations of internal iliac artery and its relationship with important anatomical structures. Methods: We have performed a dissection of male pelvis to analyze the anterior and posterior branching patterns of internal iliac artery. In order to identify eligible articles for our review, an extensive search through major electronic databases was accomplished. Results: During dissection the branching patterns of anterior and posterior division of internal iliac artery were identified. Anterior division gives off lateral sacral artery, inferior gluteal artery and middle rectal artery. Umbilical artery arises from internal iliac artery and gives off superior vesical arteries. Superior gluteal artery arises from the posterior trunk. According to Adachi's classification of internal iliac artery, results demonstrate that type I occurs in 54,2% and is the most frequent in humans. Conclusions: Analysis of collaborated classification of anatomical variants of the internal iliac artery with cadaveric dissection and proper recognition of structures within pelvis provides better widening of knowledge about spatial relationships between anatomical structures, especially blood vessels and urogenital organs. More precise knowledge of the anatomical variations of internal iliac artery can definitely reduce the risk of surgical complications to provide safe and effective medical treatment