论文部分内容阅读
贲门癌、胃体癌多须做近端胃次全切除或全胃切除。因手术难度大,损伤亦大,尤其是老年人体质虚弱,多伴有重要脏器的功能减退,常难以承受大手术的打击,易出现并发症,手术死亡率高。因此,高龄贲门癌、胃体癌是外科较难解决的问题。本文旨在分析、讨论60岁以上高龄贲门癌、胃体癌的围手术期处理问题,结合文献提出我们的体会。 1 临床资料我院自1983年1月至1991年5月共为60岁以上高龄的贲门癌、胃体癌病人施行根治手术160例。年龄60～78岁,平均69岁。男性133例,女性27例。贲
Cardiac cancer, gastric body cancer must do more subtotal gastrectomy or total gastrectomy. Due to the difficulty of surgery and injuries, especially the physical constitution of the elderly, the functions of important organs are often impaired, and they are often difficult to withstand the impact of major operations. Complications are apt to occur and the mortality rate is high. Therefore, advanced cardia cancer and gastric cancer are more difficult to solve surgical problems. The purpose of this article is to analyze and discuss the perioperative management of gastric cardia cancer and corporeal cancer above the age of 60 and combine our literature with our experience. 1 Clinical data In our hospital from January 1983 to May 1991, a total of 160 patients with cardia cancer and gastric body cancer who were over the age of 60 were undergone radical surgery. Age 60 to 78 years, average 69 years old. There are 133 males and 27 females.贲