老年胃肿瘤手术136例分析

Surgical Treatment for Stomach Neoplasms in the Aged(136 Cases Report)

目的总结老年胃肿瘤手术方式、围术期处理及其疗效。方法回顾性分析136例60岁以上老年人胃肿瘤患者临床资料,其中胃癌患者117例,行根治术103例,姑息性切除8例,胃空肠短路吻合术4例,仅行探查活检2例;其他肿瘤行胃次全切除19例。结果术后发生并发症10例,死亡2例。98例获平均38个月随访,胃癌患者1,3,5年生存率分别为86.4%,71.6%和47.7%。结论老年胃肿瘤患者应加强围手术期处理,增强手术耐受能力,提高手术安全性,减少并发症发生机率,手术时机及方式以"缓"和"简"为原则。

Objective To summarize the surgical procedures, perioperative managements and the thera- peutic efficacies for stomach neoplasms in the aged. Methods Clinical date of 136 old cases of stomach neo- plasms were retrospectively analyzed. In the 117 cases of gastric cancer, 103 were undergone radical resection, 12 of palliative surgery, and 2 of biopsy only. Results Complications were occurred in 10 cases, in whom 2 died. 98 cases were followed up for 38 months meanly, the 1-, 3-, 5-year survival rate was 86.4%, 71.6% and 47.7% respectively. Conclusion The surgical treatment should be used with a systematic evaluation and complete perioperative managements for the aged stomach neoplasm patients.