37例老年胃癌根治术近期并发症的临床分析

Clinical analysis of the recent complications in 37 gastric cancer patients after radical operation in elder person

目的:分析老年胃恶性肿瘤的手术并发症及其相关因素。方法:对2002年1月～2006年7月已施行的经腹胃癌根治术96例,按年龄分老年组(≥65岁)和中青年组(<65岁,分析两组间术中、术后并发症及其处理。结果:死亡1例,占1.04%。近期总并发症老年组发生率为29.72%,中青年组16.91%,差异有显著性;心肺疾患与营养不良,老年组为18.91%和13.51%,而中青年组为1.69%和3.38%,差异有显著性。结论:虽然老年患者术后并发症发生率明显高于中青年患者,但绝大多数老年患者经术前原有疾病控制、术中慎重解剖并细致的手术操作、术后密切监护、饮食调节、及时处理均能胜任根治性胃大部切除术。

Objective ：To analyze the complications and related factors of gastric cancer surgery in elder person. Methods：96 gastric cancer patients were divided into elder group （≥ 65） and mlddle-age group （〈65） and the complications and relevant countermeasure during surgery and after surgery were analyzed. Results-One patient died and the mortality was 1.04%. The incidence of perioperative general complication in elder group was 29.72% ,while in middle-age group was 16.91%（P〈0.05）;the complication incidence in cardiopulmonary and malnutrition was 18.91% and 13.51% respectively in elder group,while 1.69% and 3.38% respectively in middle-age group（P〈0.05）. Conclusion：Though the complications in elder group were much higher than those in the middle-age group, the most elder patients were qualified to take radical gatrectomy after controlling of the former diseases,carful anatomy and operation procedure during surgery and close monitoring, dietary adjustment after surgery and timely management.