All cardiac surgical procedures performed in 79 German cardiac surgical units throughout the year 2010 are presented in this report, based on a voluntary registry which is organized by the German Society for Thoracic and Cardiovascular Surgery. In 2010 a total of 95 734 cardiac surgical procedures (ICD and pacemaker procedures excluded) have been collected in this registry. More than 12.4 % of the patients were older than 80 years compared to 11.8% in 2009. Hospital mortality in 42 804 isolated CABG procedures (14.2 % off-pump procedures) was 2.8 %. In 25 127 isolated valve procedures (including 3660 transcathetervalve implantations) a mortality of 4.9 % has been observed. This voluntary registry of the German Society for Thoracic and Cardiovascular Surgery will continue to be an important tool enabling quality control and illustrating the development of cardiac surgery in Germany.
Dysphagia and gastric stenosis, which significantly influence the healing of esophagojejunal anastomosis after gastrectomy, are considered characteristics of an advanced tumor growth and a pretherapeutic lack of an adequate nutrition. This emphasizes the necessity of an early diagnosis of gastric cancer in order to lower perioperative morbidity. In addition, dysphagia is commonly associated with an obstruction of the upper gastrointestinal tract, which can lead to nutritional deficits, and thus deserves specific care during preventive management.
Introduction. Colonic cancer is one of the most
commonly diagnosed malignancies and most often occurs in patients
aged 65 years or older. Aim. To evaluate the
outcome of colonic surgery in the elderly in our hospital and to
compare five-year survival rates between the younger and elderly
patients. Methods. 207 consecutive patients
underwent surgery for colon cancer. Patients were separated in
patients younger than 75 and older than 75 years.
Results. Elderly patients presented significantly
more (P < .05) as a surgical emergency, had a longer duration of
admission and were more often admitted to the ICU (P < .01). Also, elderly patients had significant more
co-morbidities, especially cardiovascular pathology (P < .01). Post-operative complications were seen more often in
the elderly, although no significant difference was seen in
anastomotic leakage. The five-year survival rate in the younger
group was 62% compared with 36% in the elderly (P < .05). DFS was 61% in the younger patients compared
with 32% in the elderly (P < .05). Conclusion. Curative resection of
colonic carcinoma in the elderly is well tolerated and age alone
should not be an indication for less aggressive therapy. However,
the type and number of co-morbidities influence post-operative
mortality and morbidity.
scite is a Brooklyn-based organization that helps researchers better discover and understand research articles through Smart Citations–citations that display the context of the citation and describe whether the article provides supporting or contrasting evidence. scite is used by students and researchers from around the world and is funded in part by the National Science Foundation and the National Institute on Drug Abuse of the National Institutes of Health.