论文部分内容阅读
目的总结75岁以上高龄食管癌、贲门癌患者的临床特点及手术治疗经验。方法回顾性分析本院2006年1月—2010年12月间接受手术治疗的140例75岁以上高龄食管癌、贲门癌患者的临床资料。结果本研究无手术死亡病例。术后发生并发症43例,除1例呼吸衰竭难以纠正外,均经保守治疗后痊愈。随访1~5年,失访6例。术后1年生存率88.3%(121/137),3年生存率54.7%(47/86),5年生存率37.8%(14/37)。死亡患者中与原发病相关者和非原发病相关者分别为49例和15例。结论高龄食管癌、贲门癌患者体质较弱,常合并有其他多系统病症。细致的手术治疗和全面的围术期处理,可使大部分患者顺利度过围术期,取得满意疗效。
Objective To summarize the clinical features and surgical treatment experience of elderly patients with esophageal and cardiac cancer over 75 years old. Methods The clinical data of 140 patients with esophageal and gastric cardia cancer over the age of 75 who underwent surgery from January 2006 to December 2010 in our hospital were retrospectively analyzed. Results There were no surgical deaths in this study. Postoperative complications occurred in 43 cases, except one case of respiratory failure is difficult to correct, were cured after conservative treatment. Follow-up 1-5 years, lost to 6 cases. The 1-year survival rate was 88.3% (121/137), the 3-year survival rate was 54.7% (47/86), and the 5-year survival rate was 37.8% (14/37). Among the death patients, 49 cases were related to the primary disease and 15 cases were non-primary disease. Conclusion The elderly patients with esophageal cancer and cardia cancer are in a weaker constitution and often have multiple system disorders. Careful surgical treatment and comprehensive perioperative management, most patients can be successful perioperative period, and achieved satisfactory results.