高龄胃癌患者86例手术治疗分析

目的探讨高龄胃癌患者应用Roux-en—Y外科治疗的效果及有关问题。方法回顾性分析了接受手术治疗的86例70岁以上胃癌病例。结果86例均经手术探查，其中远端胃次全切除59例，全胃切除5例，近端胃次全切除20例，联合脏器切除2例；术后有并发症30例，无手术死亡病例。结论高龄胃癌患者在积极加强围手术期处理的同时行Roux—en—Y吻合术在胃切除尤其是胃癌根治性切除后消化道重建中有较好的应用价值。

Clinical analysis of 86 cases of Surgical Therapy about Elderly Patients with Gastric Carcinoma

Objective To estimate the clinical characteristic and relevant problems of Roux-en-y surgical therapy for patients with gastric carcinoma in elderly patients. Method The clinical data of 86 elderly patients with gastric carcinoma over over years old were analyzed retrospectively. Result 86 cases received operations research,59 eases received distal end subtotal gastreetomy, 5 cases received total gastrectomy ,20 cases received proximal endsub-total gastrectomy, and 2 cases received short circuit,stoma or exploratory laparotomy. Conduslon Gastric carcinoma in elderly patients is not easy to find, and it is with more exist diseases, more postoperative complication. So it ineces-sary to enforce perioperative period management, and the options of operation methods should follow individual princi-ple.