Surgical Management of Elderly Patients

Description

This volume offers a comprehensive and up-to-date overview of the major surgical procedures performed on elderly patients. With advancing age the conditions that require surgery normally increase in incidence, and today all surgeons around the globe can be considered “geriatric surgeons”. The latest anesthesiological procedures, the technical improvements and an increased medical knowledge of the comorbities impact have brought extraordinary advances in this field, but this should not allow us to forget that a careful assessment of elderly patients is necessary before undertaking surgery, since also the simplest surgical procedures could alter the delicate psychophysical equilibrium of these “frail” patients. Introduced by a demographic panorama and analysis, the book describes the anesthesiological management, the preoperative assessment and preparation, the perioperative care, and hemostasis control connected with the main surgical pathologies: gastrointestinal, endocrine, neoplastic, vascular and hepato-biliary, as well with traumatic and non-traumatic emergencies. It will be an invaluable, easy-to-use resource for clinicians, researchers and trainees alike. Front Matter ....Pages i-xxi Front Matter ....Pages 1-1 Aging: from Demography to Epidemiology (Nicola Ferrara, Klara Komici, Giuseppe Rengo, Graziamaria Corbi)....Pages 3-8 Anesthesia for the Elderly Patient (Concezione Tommasino, Antonio Corcione)....Pages 9-29 Principles of Geriatric Surgery (Mario Nano, Mario Solej)....Pages 31-46 Perioperative Management (Piergaspare Palumbo, Marco Scatizzi, Giorgia Prestigiacomo, Maddalena Baraghini)....Pages 47-63 Risk of Venous Thromboembolism in Surgical Elderly Patients (Anna Falanga, Viola Milesi)....Pages 65-78 Front Matter ....Pages 79-79 Thyroid and Parathyroid Diseases in Elderly Patients (Silvestro Canonico, Massimo De Falco, Giuseppe Santangelo)....Pages 81-95 Breast Cancer Management in the Older Woman (Marsilio Francucci, Roberto Cirocchi, Marina Vinciguerra)....Pages 97-110 Surgical Approach to Adrenal Diseases in the Elderly (Andrea Valeri, Andrea Polistena, Carlo Bergamini, Nicola Avenia)....Pages 111-127 Pancreatic Neuroendocrine Tumors (pNETs) (Alessandro Sanguinetti, Andrea Polistena, Louis Banka Johnson, Nicola Avenia)....Pages 129-157 Front Matter ....Pages 159-159 Esophageal Cancer (Di Martino Natale, Monaco Luigi)....Pages 161-178 Cancer of the Stomach (Roberto Vergari, Vanessa Polenta, Cristina Marmorale)....Pages 179-190 Surgical Treatment of Inflammatory Bowel Diseases in the Elderly (Francesco Colombo, Gianluca Pellino, Gianluca Sampietro, Francesco Selvaggi, Silvestro Canonico, Diego Foschi)....Pages 191-206 Diverticulosis and Diverticulitis (Binda Gian Andrea, Cassini Diletta, Gianandrea Baldazzi, Nascimbeni Riccardo)....Pages 207-227 Surgical Management of Colorectal Cancer in the Elderly Patient (Andrea Mazzari, Pasquina Tomaiuolo, Federico Perrone, Federico Sicoli, Antonio Crucitti)....Pages 229-239 Surgical Management of Full-Thickness Rectal Prolapse in the Elderly Patient (Francesco Gabrielli, Angelo Guttadauro, Matteo Maternini, Nicoletta Pecora)....Pages 241-254 Front Matter ....Pages 255-255 Cerebrovascular Disease and Critical Limb Ischaemia (Carlo Setacci, Maria Agnese Mele, Giuseppe Galzerano, Giuseppe de Donato, Domenico Benevento, Massimiliano Walter Guerrieri et al.)....Pages 257-270 Acute Peripheral Arterial Disease (Francesco Speziale, Pasqualino Sirignano, Simone Cuozzo, Wassim Mansour, Chiara Pranteda, Martina Formiconi et al.)....Pages 271-280 Aortic Aneurysm in Elderly Patients (Andrea Stella, Erico Gallitto, Chiara Mascoli, Rodolfo Pini, Alessia Sonetto)....Pages 281-286 Venous Disorders of the Leg (Stefano de Franciscis, Raffaele Serra)....Pages 287-295 Front Matter ....Pages 297-297 Cholecystectomy in Elderly: Challenge and Critical Analysis of Available Evidence (Alessandro Puzziello, Domenico Landi, Fernando Vicinanza, Giulia Pacella, Giulio Orlando, Ileana Maria Luppino)....Pages 299-309 Cancer of the Gallbladder and Biliary Tree (Marco Filauro, Giulio Angelini, Federico Fazio, Andrea Barberis)....Pages 311-326 Pancreatitis (Francesco Basile, Antonio Biondi, Guido Basile, Marcello Donati)....Pages 327-334 Benign and Malignant Lesions of the Liver (Francesca Romana Ponziani, Giulia Gibiino, Antonio Gasbarrini)....Pages 335-346 Pancreatic Tumors (Sergio Alfieri, Fausto Rosa, Dario Di Miceli, Giovanni Battista Doglietto)....Pages 347-363 Front Matter ....Pages 365-365 Primitive Groin Hernias (Bruno Martella, Renata Lorenzetti, Anna Claudia Colangelo)....Pages 367-374 Incisional Hernias (Carmelo Militello, Franco Mazzalai)....Pages 375-383 The Management of Soft Tissue Sarcoma in the Elderly (Sergio Sandrucci)....Pages 385-395 Front Matter ....Pages 397-397 Trauma in Geriatric Age (Emanuele Rausa, Federico Coccolini, Giulia Montori, Maria Agnese Kelly, Baggi Paolo, Dario Piazzalunga et al.)....Pages 399-410 Bowel Obstructions (Gennaro Perrone, Luca Ansaloni, Federico Coccolini, Salomone Di Saverio, Massimo Sartelli, Fausto Catena)....Pages 411-421 Acute Peritonitis (Massimo Sartelli, Federico Coccolini, Fausto Catena, Luca Ansaloni)....Pages 423-426 Upper and Lower Gastrointestinal Bleeding (Paola Fugazzola, Giulia Montori, Camilla Bing, Fausto Catena, Massimo Sartelli, Luca Ansaloni et al.)....Pages 427-444