高龄肺癌外科治疗68例

Elderly surgical treatment of 68 cases of lung cancer

目的:回顾性分析68例高龄肺癌患者的外科治疗方法及围手术期处理经验。方法:根治性手术切除60例,姑息性切除6例,手术探查2例。结果:手术切除率97.05%,术后死亡1例占1.47%,术后出现并发症28例,占41.18%。结论:高龄肺癌患者需进行术前全面评估,严格掌握手术指征,选择合适的手术方式,术前行积极全面的围手术期处理,从而获得满意的治疗效果。

Objective： To analyze retrospectively 68 cases of lung cancer elderly patients with surgical treatment and perioperative experience. Methods ：60 cases of radical resection, 6 cases of palliative resection, 2 cases of surgical exploration. Results： Resection rate 97.05%, 1 case of postoperative death rate of 1.47% ,28 cases of postoperative complications, accounting for 41.18%. Conclusions： The elderly lung cancer patients in need of a comprehensive preoperative evaluation, strict operative indications, select the appropriate surgical procedure, preoperative active and comprehensive perioperative management to gain a satisfactory treatment.