Physiologic and Anesthetic Considerations in Octogenarians Undergoing Laparoscopic Partial Nephrectomy

Reviews in Urology

Elizabeth Todd¹  Nikhil Vasdev¹  Naeem A Soomro¹ 

[1] Department of Urology, Freeman Hospital, Newcastle Upon Tyne, United Kingdom

关键词: Laparoscopic partial nephrectomy;    Renal cell carcinoma;    Renal tumor;    Radical nephrectomy;    Octogenarian;   

DOI  :  

学科分类：基础医学

来源: MedReviews, LLC

【 摘 要 】

The number of small renal tumors detected is increasing as imaging becomes both more available and advanced, and as the population ages, with a greater proportion of patients in their 80s emerging with small and treatable renal tumors. The technique of laparoscopic partial nephrectomy is emerging and becoming ever more popular in some centers, and is potentially a safer alternative for the elderly due to improved postoperative pain, shorter hospital stay with faster return to preoperative activities, and lower rates of morbidity and mortality. We present a systematic review of the physiologic and anesthetic considerations in octogenarians undergoing the procedure, highlighting special considerations and the need for expertise throughout the multidisciplinary team when dealing with these patients, in order to minimize risk and optimize outcome.

【 授权许可】

Unknown