30例高龄直肠癌患者的外科治疗

Surgery of Rectal Cancer in 30 Elderly Patients

目的:探讨高龄直肠癌患者行手术治疗的可行性。方法:回顾分析自1990年1月至2007年1月收治的30例高龄直肠癌患者的外科资料。结果:30例患者全部经手术治疗,1例出现大面积脑梗死,1例出现呼吸衰竭,其余均获得较为满意的效果。结论:高龄直肠癌患者并发症多,手术风险大,行姑息性直肠癌切除不失为一种明智的选择。

Objective： To explore the feasibility of surgery in elderly patients with rectal cancer. Methods： The experience of surgical management for 30 elderly rectal cancer patients was analyzed retrospectively from January 1990 to January 2007. Result： Among 30 elderly patients with surgery, 28 patients had satisfactory effect except for 2 cases （One case got cerebral infarction of large area, another died because of respiratory failure）. Conclusion： It is judicious choice to cut the tumor with palliation because the elderly rectal cancer patients have more coexisting diseases and more surgical risk.