摘要
目的探讨老年胃癌患者的外科手术治疗方法及其治疗效果。方法回顾性分析我院1999年6月至2003年6月226例65岁以上老年胃癌患者行手术治疗的临床资料。胃癌根治性切除122例(D157例,D232例,D333例),姑息性切除56例,行远端胃切除术107例,近端胃切除术51例,全胃切除术15例,联合器官(脾、胰尾、横结肠)切除5例,未切除41例。结果围手术期死亡率为3.1%,手术并发症发生率为17.3%。随访207例,平均随访时间37(12~60)个月。总体中位生存时间32.5个月;根治性切除组平均为37个月,姑息性切除组为19个月,未切除组为8个月;5年生存率根治性切除组为28.0%,姑息性切除组为2.1%,未切除组为0。根治性切除者的术后生存时间明显长于姑息性切除者,差异有显著意义(P<0.01)。结论老年胃癌术后并发症发生率高。对老年胃癌患者积极行根治性切除术,能延长生存期,改善患者生活质量,但应做好围手术期处理。
Objective To study the surgical therapy and the effect of gastric cancer in the elderly. Methods The clinical data of 226 gastric cancer patients who aged over 65 admitted from June 1999 to June 2003 were retrospectively studied.122 cases received radical resection with D_1 57 patients,D_2 32 patients,and D_3 33 patients.56 received partial resection,and 41 received in no-resection.In the 178 cases underwent gastrectomy,there were 107 cases of distal gastrectomy,51 of proximal gastrectomy,15 of total gastre...
出处
《中国现代手术学杂志》
2009年第4期273-275,共3页
Chinese Journal of Modern Operative Surgery
关键词
胃肿瘤
老年人
stomach neoplasms
aged
