老年食管癌贲门癌的外科手术治疗

Surgical therapy for aged patients with esophageal and cardic carcinoma

目的探讨老年食管癌贲门癌的术前术后治疗。方法准确选择食管贲门癌患者的手术适应证及严格的术前评估,充分的术前准备与术后治疗。结果本组患者得到及时的手术治疗,减少了围手术期的危险,术后发生并发症36例(25.9%),死亡3例(2.2%)。结论老年食管癌贲门癌患者往往合并其他脏器疾病,术前有针对性的处理,术中术后密切监护、及时治疗,对减少术后并发症,提高手术成功率具有价值。

Objective To explore the preoperative and postoperative treatments of aged patients with carcinoma of the esophagus and cardia. Mechods With the exact definition of the operational indication and the severe preoperational evaluation,the preoperative preparation and postoperative treatments were sufficient. Results In this group, cases were cured with operation in time which decreased the risk of periopetation. After operation, 36 cases suffered complications（25.9%） ,and 3 cases died（2.20/6）. Conclusion The aged patients with esophageal and cardiac carcinoma were often associated with multiorgan diseases. So sufficient preoperative preparation,close perioperative observation and active therapy are important for reducing postoperative comlications and promoting successful rate of surgical operation.