外科治疗43例高龄食管癌贲门癌  

Surgical treatment of esophageal and cardiac cancer in elderly patients

作　　者：杜秉利 李俊东[1] 兰守江 

机构地区：[1]怀柔县第一医院胸外科,北京怀柔101400

出　　处：《中国癌症杂志》2001年第4期347-348,共2页China Oncology

摘　　要：目的 :探讨高龄食管癌贲门癌病人围手术期的处理和手术方式的选择。方法 :43例肿瘤患者中 ,食管癌 2 6例 ,根治手术 2 3例 ,探查 3例 ,贲门癌 17例 ,根治手术 13例 ,探查 4例 ,对食管癌贲门癌的术前准备、营养支持及手术方式进行总结分析。结果 :本组手术切除率 93 .0 %、并发症发生率 41.9%、手术死亡率 4.7% ,获得了较满意的治疗效果。结论 :对高龄食管癌和贲门癌病人 ,应严格掌握适应证及正确处理围手术期并发症。Purpose:To study the surgical treatment of the cases with cancer of esophageal and gastroesophageal conjunction by thoracotomy. Methods:Total of 43 patients were selected. Squamous cell carcinoma of esophagus were found in 26 patients,among them 23 received radical resection and 3 failed due to massive invasion of the tumor.The rest were diagnosed as adeno carcinoma of cardia,13 of them undergoing radical resection and 4 failed.Results:The results of the whole group were surgical resection 93.0 %,complication 41.9% and operative mortality 4.7%.Conclusions:The authors conclude that selecting patients with precise indications as well as treating complication correctly was very important for surgical procedures of elderly patients.The pre-operative preparation,nutrition and approach for resection are also important.

关 键 词：食管癌 老年人 贲门癌 外科治疗 

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