【摘要】 目的探讨高龄贲门癌患者的临床特点及合理的外科治疗。方法回顾分析 1991～2 0 0 0年收治的 79例 70岁以上贲门癌患者的治疗情况。结果本组平均发病年龄 74 6岁 ,男女发病比例为 4 6∶1,平均病程 3 1个月。早期诊断率为 2 %。术前并存疾病的发生率为 5 4 %。淋巴结转移率为 5 4 %。主要采用经腹全胃切除术。根治性切除率为 73% ,姑息性切除率为 19%。术后并发症发生率为 38% ,病死率为 3%。结论对高龄贲门癌患者 ,加强术前并存疾病和术后并发症的处理 ,选择适当的手术 ,可以降低手术风险 ,减少并发症更多还原

【Abstract】 ObjectiveTo investigate rational surgical therapy for patients aged at 70 and up suffering from cardiac cancer. Methods 79 cases admitted from 1991 to 2000 were treated by transabdominal total gastrectomy with a radical resection rate of 73% and palliative resection rate of 19%. Results The average age was 74 6 years with a ratio of male to female of 4 6∶1. The average course of the disease was 3 1 months, and only 1 (2%) case got early diagnosis,while the misdiagnosis rate was 54%. Postoperative complication rate was 38%, mortality rate was 3%. Conclusions With the preoperative concurrent disease properly managed and the operation appropriately performed senile patients with cardiac cancer could also be managed successfuly as young patients .更多还原