高龄食管癌患者三切口手术51例分析

目的:探讨70岁以上食管癌患者行三切口手术治疗的可行性.方法:回顾性分析51例(实验组)70岁以上行三切口手术的病例,并以70岁以上食管癌行其它手术方式146例(对照1组)和小于70岁行三切口手术103例(对照2组)分别作对照.结果:实验组术后以心肺并发症为主,与对照组比较无显著性差异.术前心肺功能异常患者易发生心肺并发症.结论:对于70岁以上食管胸中上段癌患者只要条件允许,应积极行三切口手术治疗.

The Analysis of the 3-incision Operative Treatment for the Aged Patients with Esophageal Carcinoma

Objective: To discuss the feasibility of 3-incision treatment for the patients who aged at 70 years old or above. Methodes: A retrospective review of 51 patients underwent 3-incision operative treatments, with the age of 70 years or above (test group), 146 patients underwent other operations, with the age of 70 years old or above (control group 1) and 103 patients underwent 3-incision treatment, who aged at less than 70 old years (control group 2). Results: The main postoperative complication of test group was cardiorespiratory complications, showing no significant difference when compared to control group. The incidence of cardiorespiratory complication closely related to the preoperative abnormality of heart and pulmonary function. Conclusion: It is recommended that the patients, at 70 years old or above and with upper or middle esophageal carcinomas, select the 3-incision operative treatment if condition is applicable.