高龄胃癌合并2型糖尿病患者的围手术处理

Surgical treatment of gastric cancer in elderly patients combinded with diabetes

目的探讨高龄胃癌合并2型糖尿病患者的围手术处理。方法对2000-2010年间108例高龄胃癌合并糖尿病患者围手术处理情况进行回顾性分析。结果 108例病人均作胃癌限期手术,术后并发症发生率为36.1%,其中切口感染19例(17.6%),肺部感染12例(11.1%),吻合口漏4例(3.7%),泌尿系感染2例(1.9%),高渗性昏迷1例(0.9%),死亡1例(0.9%)。术后患者平均住院时间为19d。结论控制血糖和选择合理的术式、手术时机,高龄胃癌并糖尿病患者可顺利度过围手术期,并取得良好的手术疗效。

Objective To study the method of surgical treatment of gastric cancer in elderly patients combined with diabetes.Method From 2000 to 2010,108 elderly patients with gastric cancer combined with diabetes received operations were analyzed retrospectively.Results 108 cases underwent elective operations.The morbidity of postoperative complications：wound infection was found in 19 cases（17.6%）,pneumonia in 12 cases（11.1%）,and anastomotic leakage in 4 cases（3.7%）,and urinary tract infection in 2 cases（1.9%）,and hyper osmotic coma in 1 case（0.9%）,and 1 cases died,with the mortality of 0.9%.Average hospitalization was 19 days after operation.Conclusion If the blood sugar level can be strictly controlled,a reasonable surgical procedure is used and a suitable time for operation,elder gastric cancer patients combined with diabetes can be able to overcome the perioperative period and have a satisfactory operative efficacy.