高龄贲门癌手术径路选择的探讨  

Surgical approach selection for elderly patients with carcinoma of gastric cardia

作　　者：李叙 魏小东 栗兰凯 昌其 谢骏 潘伟 

机构地区：[1]解放军第一○一医院胸外科,江苏无锡214044

出　　处：《中国肿瘤临床与康复》2011年第3期269-270,273,共3页Chinese Journal of Clinical Oncology and Rehabilitation

摘　　要：目的探讨高龄贲门癌手术径路的合理选择对术后恢复疗效的影响。方法回顾性分析114例高龄贲门癌病例的临床资料,进行统计分析,比较经胸、经腹两种手术径路的切端残留率、心脏并发症发生率、呼吸系统并发症发生率的差异。结果两组间切端残留率无明显差异(P>0.05),经胸组心脏并发症发生率、呼吸系统并发症发生率、术后平均住院时间与经腹组相比有统计学意义(P<0.05)。结论高龄贲门癌术前应充分评估分析病情,选择合适的手术径路,以利于恢复。Objective To investigate the effect of rational selection of surgical approach for operation of carcinoma of gastric cardia on postoperative recovery and therapeutic efficacy in patients elderly.Methods The clinical data of 114 elderly patients with carcinoma of gastric cardia were analysed retrospectively.The residual incision margin carcinoma rate,the incidence of postoperative heart complications,the incidence of postoperative respiratory complications and the average postoperative hospital stay were compared between thoracic approach and abdominal approach.Results There was no significant difference in residual incision margin rate between the two approaches（P0.05）.There were significant differences in the incidence of postoperative heart complications,the incidence of postoperative respiratory complications and the average postoperative hospital stay（P0.05）.Conclusion The choice of the operative approach should be based on the patient individually.

关 键 词：贲门肿瘤 高龄 手术径路 

分 类 号：R735.2[医药卫生—肿瘤] R730.56[医药卫生—临床医学]