老年人胃癌外科治疗的体会

Understanding in surgical treatment for the aged gastric carcinoma

目的 探讨老年人胃癌的围手术期处理和外科治疗的方法。方法 回顾分析2000年1月至2006年12月期间我院外科住院治疗的25例老年胃癌病人的临床资料。结果 术前有并存疾病7例（占28．0％），根治性手术21例（84．0％），6例发生并发症（占24．0％），无死亡病例。25例术后均得到随防，根治性胃切除术病人5a生存率49％。结论 外科手术仍然是治疗老年胃癌有效的方法。加强围手术期处理，选择适当的手术方式可减少术后并发症的发生，降低病死率。

Objective To study the treatment of peri-operation and methods of surgical treatment for the aged gastric carcinoma. Methods Clinical data of 25 aged patients with gastric carcinoma in our hospitalization were retrospectively analysed from January 2000 to December 2006. Results 7 （28.0%） patients had concurrent disease, 21 （84.0%） were done radical surgery, 6 （24%） were found complication, and there was no the death cases. 25 patients were followed up after the operation and 5-year survival rate was 49% in the patients with radical gastric carcinoma. Conclusions Surgical operation is still an effective method for the aged gastric carcinoma. The strengthen of peri-operation treatment and the choice of proper modus operandi might decrease the complication and case fatality.