摘要
目的:探讨高龄胃癌患者全胃切除的围手术期处理。方法:回顾性分析1995年至2004年60岁以上高龄胃癌患者34例,其中全胃切除+Roux-y空肠代胃术5例,全胃切除+改良布朗Ⅱ式空肠代胃术29例。结果:围手术期无死亡病例,出现并发症10例,24例平稳度过围手术期。结论:高龄胃癌患者行全胃切除术围手术期处理对于手术成功率很重要。高龄并不是手术绝对禁忌证。
Objective: To discuss perioperative medical managements of total gastrectomy in aged patients with gastric cancer. Method: Retrospective analysis of aged patients above 60 with gastric cancer in 34 cases, including 5 cases of total gastrectomy plus Roux-y anastomosis and 29 cases of gastrectomy plus modified Brown Ⅱ. Result: There was no death in perioperative period. 10 cases had complications. And 24 cases went safely through perioperative period. Conclusion:Perioperative medical managements of total gastrectomy in aged patients with gastric cancer are essential for the success of operations. Old age is not absolute contraindication for the operations.
出处
《河北医学》
CAS
2005年第8期751-753,共3页
Hebei Medicine
关键词
高龄患者
围手术期
全胃切除术
Old age
Perioperative medical managements
Total gastrectomy
