Minimally invasive surgery helps the elderly to new hips
With 80 a new hip or a bowel surgery: More and more frequently, surgeons use the knife even in very elderly patients.
For example, cancer patients who were older than 75 years of age were hardly ever operated on today, and tumors on the esophagus, intestine, stomach and liver could often be removed minimally invasively and thus gently, said the president of the German Society for Surgery (DGCH), Matthias Anthuber , on the sidelines of the 136th Congress of Surgeons in Munich (26 to 29 March).
"Today, we're doing successful cancer surgery on patients in their eighth and ninth decades," said Anthuber, who heads Congress as president. "Especially the development of minimally invasive methods has reduced the burden on older patients." There is less wound infection and pain. Studies showed no higher risk of cancer return than with conventional surgical methods. Even better anesthesia techniques and intensive care therapies made interventions in the elderly safer. In addition, they would be better prepared for the surgery together with geriatric doctors.
Especially colon cancer usually occurs at an older age. Of every 55,000 new people in Germany every year, 20 percent are over 75 years old. 30 to 40 percent of colorectal cancer interventions are already minimally invasive. "This is still capable of growth, we are clearly behind the neighboring countries," said Anthuber.
Also, back surgery and art hips were no longer an unacceptable risk when carefully examining the individual case for very elderly patients. "Today, we can safely use new hip or knee prostheses for over 80s because we know how we associate those with surgery Effectively reduce risks of heart attack and pneumonia, "said Anthuber. "Calendar-age is a clue to how fit a human could be, but there are 80-year-olds who look like 65. Why would you deny them an OP for better quality of life?"
According to the hospital report of the Barmer Ersatzkasse from 2017, according to DGHC figures, the number of hospital patients over the age of 70 increased by 80 percent from 2006 to 2015. Experts expect further growth.