摘要
目的：探讨高龄食管癌、贲门癌患者行食管切除术的危险性及手术死亡率与年龄的关系。方法：１９８５年～１９９０ 年对４４４ 例食管癌、贲门癌患者食管切除术，根据年龄段分为两组：Ⅰ组，年龄≥６５ 岁，５６ 例，Ⅱ组，年龄＜６５ 岁，３８８ 例，比较两组术前危险因素、手术合并症及死亡率、平均住院日和长期生存率。结果：两组病例术后死亡率（３－６ ％ ｖ２－８ ％ ） ，平均住院日（２３－３ 天ｖ２２－３ 天） ，５ 年及１０ 年生存率（３４－５ ％ ｖ ３６－８ ％ ，２４－１％ ｖ２５－７％ ） 均无显著性差别。结论：高龄食管癌贲门癌患者行食管切除术并不增加手术死亡率，而长期生存率与年轻者相比无差异。
Objective:To investgate the morbidity and mortality in operations for esophageal and gastric cardiac cancer in the elderly. Methods:From 1985 to 1990,444 patients underwent esophageal resection for esophageal and cardiac cancer,among them 56 patients were 65 years or older (group 1);another 388 patients were younger than 65 years (group 2). The two groups were compared according to preoperative risk factor (mortality rate,mean staying days in the hospital and long term survival). Results:There was no significant difference between the 2 groups concerning mortality (3 6%in group 1 versus 2 8%in group 2), the mean staying days in the hospital (23 3 days in group 1 versus 22 3d in group 2), 5 and 10 year survial (34 5%,24 1%in group 1 versus 36 8%and 25 7%in group 2). Conclusions:Esophagectomy can be performed in selected elderly patients without increasing mortality and with long term surival.
出处
《癌症》
SCIE
CAS
CSCD
北大核心
1999年第5期575-577,共3页
Chinese Journal of Cancer
关键词
食管肿瘤
贲门癌
老年人
食管切除术
Esophageal and gastric cardiac neoplasm
Surgery
Prognosis
