高龄大肠癌120例外科治疗体会

Surgical treatment of 120 elderly patients with colorectal carcinoma

目的 探讨高龄大肠癌围手术期处理的有关问题 ,提高外科治疗效果。方法 回顾性分析1985～ 1995年间 12 0例 70岁以上大肠癌病人的外科治疗资料。结果 高龄大肠癌病人术前并存病多(78 3 % ) ,肿瘤切除率为 90 % ,根治性切除率 66 7% (80 / 12 0 ) ,术后并发症发生率 44 2 % ,围手术期死亡 6例 ,病死率 5 %。结论 手术切除仍是高龄大肠癌最佳治疗方法 ,术前对并存病的合理有效治疗以及严格的围手术期监测处理是减少术后并发症、降低病死率。

Objective To explore the pertinent problems in the perioperative period management of the elderly patients suffered from colorectal carcinoma in order to improve the effect of surgical treatment.Methods The experience of surgical treatment for colorectal carcimoma in 120 patients over 70 years of age from 1985 to 1995 were analyzed retrospectively.Results Most of the patients had other diseases(78.3%),tumor resection rate was up to 90%,80 cases underwent radical resection(resection rate 66.7%),28 cases received palliative resection and 7 cases hartmanns,3 cases colostomy,2 cases bypass,postoperation complication rate was 44.2%,and operation mortality 5%.Conclusion The operation is an ideal way to treat the elderly patients with colorectal carcimoma.Correct treatment preexisting diseases and appropriate perioperative management is important for reducing both complication and mortality rate.