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大肠癌高龄患者的外科治疗和围手术期处理
引用本文:孟津. 大肠癌高龄患者的外科治疗和围手术期处理[J]. 中国基层医药, 2006, 13(5): 777-778
作者姓名:孟津
作者单位:570102,海南省海口,海南医学院附属医院肿瘤外科
摘    要:目的总结高龄大肠癌的外科治疗和围手术期处理经验.方法对外科手术治疗的77例70岁以上老年人大肠癌进行回顾性分析.结果根治性切除54例,切除率70%;姑息性切除12例;结肠造口9例;捷径2例.术后并发症26例,围手术期死亡5例,死亡率6%.结论对高龄大肠癌患者进行充分手术前准备,加强围手术期处理,选择适当的手术方式是提高肿瘤切除率、减少并发症的安全有效方法.

关 键 词:肠肿瘤 老年人 外科手术
收稿时间:2006-02-18
修稿时间:2006-02-18

Surgical treatment and perioperative care of the elderly patients with colorectal caranoma
MENG Jin. Surgical treatment and perioperative care of the elderly patients with colorectal caranoma[J]. Chinese Journal of Primary Medicine and Pharmacy, 2006, 13(5): 777-778
Authors:MENG Jin
Affiliation:Department of Cancer Surgery, Affiliated Hospital, Medical Collage of Hainan , Haikou , Haikou 570102, China
Abstract:Objective To investigate the surgical treatment and perioperative care of the elderly patients with colorectal cracinoma. Methods The surgical treatment of 77 elder patients above 70 with colorectal carcinoma was analyzed. Results 54 patients were resected curatively, tumor resection rate 70 %, 12 patients were resected palliatively ,9 cases in cecostomy, 2 cases in by-pass operation. 26 instances of postoperative complications happened. 5 in death,with 6 % mortality rate. Conclusion Allround preoperative preparation, strengthy perioperative care and correct operation procedure is a safety and effective way to raise tumor resection rate and reduce preexisting diseases for the elderly patients with colorectal carcinoma.
Keywords:Intestinal neoplasms  Aged  Surgical procedures,operative
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