老年壶腹周围癌外科治疗体会(附91例报告)

Therapeutic Experiences of Periampullar Carcinoma in Senile Patients

本文总结老年壶腹周围癌 (VPC)手术治疗体会。 91例老年VPC全部接受手术治疗 ,其中根治术 4 4例、姑息手术 35例、剖腹探查术 12例。手术切除率 :根治术 4 8 4 %、姑息 38 4 %、剖腹探查术 13 2 %。围手术期死亡率 8 8%、并发症发生率 2 9 7%。根治术存活 >5年 10例 ,姑息术 3年内全部死亡 ,剖腹探查术生存未超过 1年。充分术前准备 ,老年VPC可手术治疗。围手术期死亡与病员自身状态、并存疾病密切相关 ,根治术疗效优于姑息术。

The results of operative therapy of periampullar carcinoma(VPC) in senile patients were reported.91 patients were treated by surgical operations,44 cases(48 4%) of them underwent radical operations,35 cases (38 4%),palliative operation,12 cases (13 2%), laparotomy exploration.The results showed that the mortality was 8 8% in perioperation.The complications were 29 7%.In 10 cases of radical operation,survival time was longer than 5 years.The cases of palliative operation died within 3 vears.Survival time of all cases of exploration shorter than one year.It suggests that the operative therapy of VPC for senile patients needs sufficient preparation before operation.The mortality of perioperation is associated with self-tolerance and concomitant diseases.The radical operations are more effective than palliative ones.