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Sicherheit und Effektivität der Tumorchirurgie im Alter

  • Living reference work entry
  • First Online:
Geriatrische Onkologie

Part of the book series: Springer Reference Medizin ((SRM))

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Zusammenfassung

Die Chirurgie stellt für die meisten soliden Tumoren die einzige kurative Therapieoption dar. Daher muss auch bei geriatrisch-onkologischen Patienten in entsprechenden Tumorstadien ein operatives Vorgehen angestrebt werden. Der Selektion von für eine Tumoroperation geeigneten Patienten und der partizipativen Entscheidungsfindung, unter Berücksichtigung spezifischer Gegebenheiten beim älteren Menschen, kommt eine entscheidende Rolle zu. Eine strukturierte Vorbereitung auf die Operation (prehabilitation) und eine postoperative Behandlung mit dem Ziel einer geringen Beeinträchtigung der präoperativen Homöostase und eines weitreichenden Erhaltens der körperlichen Autonomie (Enhanced Recovery After Surgery, ERAS) können helfen, die postoperative Rekonvaleszenz zu beschleunigen. Fallserien zeigen, dass sich Tumoroperationen bei geriatrischen Patienten mit guten Ergebnissen durchführen lassen. Allerdings kann hier ein Selektionsbias nicht ausgeschlossen werden, so dass prospektiv-kontrollierte Studien benötigt werden.

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Authors and Affiliations

  1. Klinik für Gefäßchirurgie und Endovaskuläre Chirurgie, Universitätsklinikum Heidelberg, Im Neuenheimer Feld 110, 69120, Heidelberg, Deutschland

    Ulrich Ronellenfitsch

  2. Chirurgische Klinik, Universitätsmedizin Mannheim, Theodor-Kutzer-Ufer 1-3, 68167, Mannheim, Deutschland

    Stefan Post

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  1. Ulrich Ronellenfitsch
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  2. Stefan Post
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Correspondence to Ulrich Ronellenfitsch .

Editor information

Editors and Affiliations

  1. II. Medizinische Klinik, Universitätsmedizin Mannheim, Mannheim, Germany

    Matthias Ebert

  2. II. Medizinische Klinik, Universitätsmedizin Mannheim, Mannheim, Germany

    Nicolai Härtel

  3. Klinik für Innere Medizin II, Universitätsklinikum Jena, Jena, Thüringen, Germany

    Ulrich Wedding

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  1. II. Medizinischen Klinik, Universitätsmedizin Mannheim, Theodor-Kutzer-Ufer 1-3, 68167, Mannheim, Deutschland

    Matthias Ebert

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Ronellenfitsch, U., Post, S. (2016). Sicherheit und Effektivität der Tumorchirurgie im Alter. In: Ebert, M., Härtel, N., Wedding, U. (eds) Geriatrische Onkologie. Springer Reference Medizin. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-662-49083-9_10-1

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  • DOI: https://doi.org/10.1007/978-3-662-49083-9_10-1

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  • Print ISBN: 978-3-662-49083-9

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