摘要
目的总结高龄大肠癌的外科治疗和围手术期处理经验。方法对外科手术治疗的77例70岁以上老年人大肠癌进行回顾性分析。结果根治性切除54例,切除率70%;姑息性切除12例;结肠造口9例;捷径2例。术后并发症26例,围手术期死亡5例,死亡率6%。结论对高龄大肠癌患者进行充分手术前准备,加强围手术期处理,选择适当的手术方式是提高肿瘤切除率、减少并发症的安全有效方法。
Objective To investigate the surgical treatment and perioperative care of the elderly patients with colorectal cracinoma. Methods The surgical treatment of 77 elder patients above 70 with colorectal carcinoma was analyzed. Results 54 patients were resected curatively, tumor resection rate 70 %, 12 patients were resected palliatively ,9 cases in cecostomy, 2 cases in by-pass operation. 26 instances of postoperative complications happened. 5 in death,with 6 % mortality rate. Conclusion Allround preoperative preparation, strengthy perioperative care and correct operation procedure is a safety and effective way to raise tumor resection rate and reduce preexisting diseases for the elderly patients with colorectal carcinoma.
出处
《中国基层医药》
CAS
2006年第5期777-778,共2页
Chinese Journal of Primary Medicine and Pharmacy
关键词
肠肿瘤
老年人
外科手术
Intestinal neoplasms
Aged
Surgical procedures,operative
