腹腔镜胃癌手术在高龄患者中的应用及注意事项

Application of laparoscopy-assisted gastrectomy in elderly ;patients with gastric cancer

高龄胃癌手术患者日益增多，这类患者具有器官功能储备差、合并症多、麻醉风险大、术后并发症多和病死率高等特点，腹腔镜胃癌手术作为安全的微创手术方式已在临床上得到广泛的认可和推广，但对于高龄胃癌患者的应用尚存在许多矛盾和问题。如何避免高龄胃癌患者腹腔镜手术的术后并发症，提高其围手术期安全性，从而改善其远期生存率，是每位胃癌外科医师都必须面对的临床问题。

The number of elderly patients with gastric cancer operation is increasing, who were distinctly characterized by organ dysfunction, more complications, high risk of anesthesia, more postoperative complications and high mortality. Laparoscopy-assisted gastroectomy as a safe minimally invasive operation has been widely recognized and popular in clinical practice, but many contradictions and problems remain with its application in the elderly patients with gastric cancer. Thus this paper summarized the application of laparoscopy-assisted gastroectomy in elderly patients.