高龄贲门癌的外科治疗

目的:为选择适当的手术方式和观察疗效,对37例70岁以上的高龄贲门癌患者进行手术治疗。方法:采用贲门癌切除附加区域性淋巴结清扫(R_1)和贲门癌根治(R_2)手术方式。结果:手术切除31例,切除率为83.7%,其中 R_1手术25例,R_2手术6例,术后死亡3例,死亡率为8.1%。并发症11例,发生率为29.7%,平均生存时间为21.3个月。结论:对高龄贲门癌应持积极态度,手术方式宜采取贲门癌切除附加区域性淋巴结清除(R_1手术),该术式创伤小,多数患者能够耐受。对高龄患者其生存时间与 R_2手术无明显差异。

Surgical Treatment for the Aged Patients with Cardiac Carcinoma

Objective:In order to select the surgical operation method and to observe the effect,37 tged patients over 70 years old with cardiac carcinoma were treated with surgical operation.Methods:R_1 and R_2 operative method were used.Results:Cardiac carcinoma of 31 cases were removed with R_1 method (25 cases)and R_2 method(6 cases).3 cases died immediataly after operation and 11 cases had severe complications.The mean survival of all treated patients was 21.3 months.Conclusion:For the aged patients with cadiac carcinoma,It is appropriate to use the R_1 method to remove the carcinoma tissue and to resect the domain lymphonodi.The operation of R_1;method has slightly injury and can be endured by patients