高龄食管癌贲门癌的外科治疗

目的:探讨高龄食管癌贲门癌患者围手术期的处理和手术方式的选择.方法:35例肿瘤患者中,食管癌21例,根治手术18例,探查3例;贲门癌14例,根治手术12例,探查2例,对食管癌贲门癌的术前准备、营养支持及手术方式进行总结分析.结果:木组手术切除率86. 7%,发症发生率37. 2%、手术死亡率5. 71%,获得了较满意的治疗效果.结论:手术切除是高龄食管癌贲门癌患者的最佳方法,但早期诊断,早期治疗,合理处理并存病,加强围手术期营养,适当的麻醉及手术方式,有效的预防和处理并发症是提高疗效的关键.

Surgical Treatment of Esophageal and Cardiac Cancer in Elderly Patients

Objective:To study the surgical treatment of the cases with cancer of esophaneal and nastroesophaneal conjunction by thoracotomy.Method: Total of 35 patients were selected.Squamous cell carcinoma of esophanus were found in 21 patients,among them 18 received radical resection and 3 failed due to massive invasion of the tumor.The rest were diagnosed as adenocarcinoma of cardia,12 of them undernoinn radical resection and 2 failed.Result: The results of the whole group were surgical resection 86.7%,complication 37.2% and operative mortality 5.71%.Conclusion: The operation is an ideal way to treat the elderly patients with esophageal carcinoma.Early diagnosis and treatment,correct management preexisting diseases,the nutrition support in perioperative,appropriate choice of anesthesia and operation procedure,effective method for the prevention and treatment of complication,are the key to improve effect on the elderly phageal carcinoma and aden carcinoma of cardia.