Viszeralchirurgie im Alter

The rising of lifespan and operable age-related diseases stresses the impact of surgery in older ages. Besides the operative technique, the perioperative management is of great importance. Short operation times, control of temperature, fast track recovery, forced airway therapy; early mobilisation and the prevention of cognitive dysfunction are the leading parameters. Surgical indication and risk-assessment have to regard the physiologic degeneration of various organ systems. The most complex severity of multifocal diseases in the elderly needs a close interdisciplinary approach. Thus, the chronologic age is not longer a general risk factor in great resection of liver, pancreas or rectum.