高龄胃癌患者手术安全性探讨

目的 探讨高龄胃癌患者的临床特点,以及围手术期干预对手术安全性的影响.方法 回顾性分析23例75岁以上（高龄组）胃癌患者和161例75岁以下（对照组）胃癌患者的临床资料,比较两者在术前合并症、术中情况、术后并发症方面的差异.结果 高龄组的术前合并症、术前住院天数、术后肺部感染发生率均明显高于对照组（P＜0.05）;但两组在手术时间、术中出血量、淋巴结清扫个数、吻合口瘘、切口并发症、术后住院时间方面均无明显差异（P＞0.05）.结论 高龄胃癌患者具有术前合并症多的特点,但通过加强围手术期处理,依然可以保持较高的手术安全性.

Surgical safety of elderly gastric cancer

Objective To investigate the clinical characteristics of elderly gastric cancer, and to evaluate the effect of preoperative management on surgical safety. Methods Retrospectively analyzed the clinical datas of 23 elderly gastric cancer patients （age 〉 75 ） and 161 control patients （suffered from gastric cancer but age ≤ 75 ）. Compared the occurrence of preoperative concomitant diseases, intra - operative condition and postoperative complications of the two groups. Results The occurrence of preoperative concomitant diseases, preoperative hospital stay and postoperative pulmonary infection of elderly patients were significantly higher than those of the control group （ P 〈 0. 05 ）. However, the differences of operative time, blood loss, number of lymph node dissection, anastomotic leakage, wound complications and postoperative hospital stay between the two groups were not statistically significant （ P 〉 0. 05 ）. Conclusions Preoperative complication is common in elderly gastric cancer patients, but perioperative period treatment can ensure surgical safety.