论文部分内容阅读
目的 :总结高龄食管癌贲门癌外科治疗经验 .方法 :高龄食癌贲门癌 12例 ,均合并进行性营养不良和心血管、呼吸系统疾病 .肿瘤切除 +胃食管吻合 10例 (包括根治术和姑息手术 ) ,探查造瘘 2例 .结果 :全组无手术死亡 ,手术切除率83 33% ,3例出现术后并发症 ,基本接近文献大宗病例报告 .行切除术后病例随访均获得满意生存质量 .结论 :高龄食管癌、贲门癌患者应得到积极的手术治疗 ,高龄不是手术禁忌症 .高龄患者围手术期处理至关重要 ,尤其是呼吸系统和营养不良 ,应在术前得到积极治疗和改善 ,术后加强呼吸道管理和有效的营养支持 ,可减少术后并发症 .对于高龄食管癌、贲门癌手术治疗的评价 ,不仅要重视术后生存率 ,更应重视术后的生存质量 .
Objective: To summarize the experience of surgical treatment of esophageal and gastric cardia cancer in elderly patients.Methods: 12 cases of advanced cardia cancer and cardia cancer were complicated with progressive malnutrition and cardiovascular and respiratory diseases.Among tumor resection and gastroesophageal anastomosis in 10 cases (including radical mastectomy and palliative Surgical operation) were performed, and 2 cases of ostomy were explored.Results: There was no operative death in all the cases, the rate of resection was 83.33%, and postoperative complications occurred in 3 cases, which were close to those reported in the literature. Satisfactory quality of life .Conclusion: Patients with advanced esophageal cancer and cardia cancer should receive active surgical treatment, and advanced age is not a surgical contraindication. Perioperative management of elderly patients is very important, especially respiratory system and malnutrition, and should be actively treated and improved before operation , Postoperative respiratory management and effective nutrition support can reduce postoperative complications.For the elderly esophageal cancer, cardiac surgery evaluation, not only to pay attention to postoperative survival, but also should pay attention to postoperative quality of life.