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開催概要
開催回
第58回・2020年・京都
 

大腸癌根治手術症例に対する周術期リハビリテーション介入開始時期の短期成績への影響

演題番号 : WS28-1

[筆頭演者]
藤井 正一:1 
[共同演者]
松近 祐史:2、森元 理恵:2、出口 貴司:1、有村 隆明:1、金澤 真作:1、中澤 健二:1、堤 謙二:1、内山 周也:1

1:甲賀病院・外科、2:甲賀病院・リハビリテーション科

 

Background We introduced the preoperative rehabilitation for the high-risk patients with colorectal cancer, and positive pressure respiration (IPPB) for poor respiratory function patient. Our hospital is medium-scale facility in the underpopulated area. There tend to be a lot of elderly patients compared with the city part.
Purpose To evaluate the short-term outcomes of colorectal cancer surgery by perioperative rehabilitation
Methods 2014-2020, the patients who underwent colorectal cancer surgery excluding cur-C were recruited. The short-term outcomes were compared between preoperative (Preop-reha) and postoperative rehabilitation (Postop-reha).
Results Seventy-two patients were analyzed, 72 years old (median, 33-93). The number of current return patients was 68 (94.4%). The destination change to health care facility was 4 (5.6%). The rehabilitation was intervened in 64 patients (88.9%). Preop-reha was 21 (32.8%), and Postop-reha was 43 (67.2%). Preop-reha was begun from 8 days (1-39) before surgery, and Postop-reha was 1 day (1-7) after surgery. There was significant difference in ECOGPS (≧PS2, Preop-reha 23.8%: Postop-reha 2.3%, p=0.032). There was elder tendency in Preop-reha (74:72, p=0.100). The respiratory rehabilitation was performed in 7 patients (10.9%, Preop-reha 6, Postop-reha 1). There was no mortality. The significant difference was not detected in the early complication (Preop-reha: Postop-reha; 38.1%:39.5%). There were no differences in the details of complication. No differences were detected in the postoperative stay (12:17 days, p=0.134), and current return rate (95.2%:93.0%, p=0.731). The respiratory complication did not occur in the all patients who underwent respiratory rehabilitation.
Conclusion The short-term results of colorectal surgery were favorable in the patients who were intervened by the perioperative rehabilitation. There might be constant effects on the preoperative and/or respiratory rehabilitation for high-risk patients.

キーワード

臓器別:大腸・小腸

手法別:リハビリテーション

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