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• W2034335895 abstract "Le vieillissement de la population française entraîne naturellement la banalisation de la chirurgie digestive chez la personne âgée. Le développement de la chirurgie minimale invasive (CMI) a d’abord révolutionné la pratique chirurgicale dans la population générale avant de prouver son intérêt chez le patient âgé. En effet, la CMI s’inscrit, par la diminution du traumatisme chirurgical et la réduction de la morbi-mortalité, dans une démarche d’allègement de la prise en charge péri-opératoire du sujet âgé. Non seulement l’âge ne constitue pas une contre-indication à la pratique de la CMI, mais il est probable que les sujets âgés soient ceux qui bénéficient le plus des avantages d’une approche moins invasive. L’objet de cette revue de la littérature est d’analyser les bénéfices et les limites de la chirurgie digestive minimale invasive chez le sujet âgé, pour orienter au mieux ses indications et comprendre son impact dans la stratégie de traitement. The French population is aging and therefore making digestive surgery in the elderly a common place. The emergence of minimally invasive surgery (MIS) led to a revolution in the general population before demonstrating benefits among older patients. Reducing surgical trauma and postoperative morbidity, MIS falls within a less aggressive management of the elderly. Age should not only be considered as a contraindication for MIS, and it is likely that older patients will benefit most from a minimally-invasive approach. The present review aims at presenting benefits and limitations of minimally invasive digestive surgery in elderly patients, so as to choose the appropriate procedure for each situation and understand the role of MIS in an optimal treatment strategy." @default.
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• W2034335895 date "2015-06-01" @default.
• W2034335895 modified "2023-10-14" @default.
• W2034335895 title "Chirurgie digestive minimale invasive chez la personne âgée : revue de la littérature" @default.
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• W2034335895 doi "https://doi.org/10.1016/j.npg.2014.09.003" @default.
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