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目的探讨老年人食管癌手术的疗效和并发症的预防。方法选取2011年6月至2012年12月于我院进行食管癌手术的老年患者31例,术前行钡餐及胃镜活检确诊食道癌,并认真进行术前准备和风险评估后于全麻下行食管癌手术,同时针对其术中及术后并发症及时分析并处理。结果患者手术时间140～360min,平均手术时间为(180.5±42.7)min;术中出血量为230～680ml,平均出血量为(300.6±76.9)ml;术中输血量为0～2400ml,平均输血量为(400.2±67.8)ml。其中12例患者发生术后并发症,占38.71%,术后死亡3例,死亡率9.68%,死亡原因为呼吸衰竭2例及心搏骤停1例。结论老年人食管癌手术的风险大,术前合并症及术中并发症较多,主刀医师需进一步提升手术技能,提高手术成功率。
Objective To investigate the efficacy and complications of esophageal cancer in the elderly. Methods Totally 31 elderly patients undergoing esophageal cancer surgery in our hospital from June 2011 to December 2012 were diagnosed with esophageal cancer by barium meal and gastroscope biopsy before operation and were carefully performed preoperative preparation and risk assessment. Cancer surgery, at the same time for its intraoperative and postoperative complications and timely analysis and treatment. Results The operation time was 140 ~ 360min and the average operation time was (180.5 ± 42.7) min. The intraoperative blood loss was 230 ~ 680ml and the average amount of bleeding was (300.6 ± 76.9) ml. The intraoperative blood transfusion was 0 ~ 2400ml. The mean blood transfusion The amount of (400.2 ± 67.8) ml. Among them, 12 cases had postoperative complications, accounting for 38.71%. There were 3 postoperative deaths and 9.68% deaths. The causes of death were respiratory failure and cardiac arrest in 1 case. Conclusion The risk of esophageal cancer surgery in the elderly is large. There are many preoperative complications and intraoperative complications. The surgeon needs to further improve the surgical skills and improve the success rate of the operation.