高龄食管癌的围术期处理

目的探讨高龄食管癌食管切除术围手术期处理的意义。方法对92例施行食管切除术的高龄食管癌患者根据具体病情采用不同的围手术期处理。术后记录患者的并发症、病死率、3年及5年生存率。结果所有病例均成功施行食管切除术，围手术期发生心血管并发症19例，呼吸系统并发症10例，吻合口狭窄及吻合口瘘各4例，乳糜胸1例，胃排空障碍2例；死亡4例，病死率4．35％；3年及5年生存率分别为80．43％和34．79％。结论良好的围手术期处理是保证高龄食管癌患者食管切除术成功实施的关键。

Perioperative management for elderly patient with esophageal carcinoma

Objective To investigate the reasonable perioperative management for elderly patients with esophageal cancer undergon esophagectomy.Methods 92 elderly patients with esophageal neoplasms were treated by esophagectomy.According to the specific pathogenetic condition of the patients,various perioperative managements were provided.After surgery,the operative complications,mortality and 3,5-year survival rate were observed.Results Esophagectomy was carried out for all cases.Cardiovascular and respiratory complications were found in 19,10 respectively.Both of anastomotic stricture and fistulae were found in 4 cases.1 and 2 complicated with chylopleural and disturbance gastric emptying respectively.Mortality was 4.35%,and the 3,5-year survival rate was 80.43%(74/92),34.79%(32/92) respectively.Conclusion Satisfactory perioperative managements are the key to successful esophagectomy.