90岁以上超高龄食管、贲门癌患者的手术治疗策略

目的探讨90岁以上超高龄食管癌和贲门癌患者手术治疗的安全性和可行性。方法回顾性分析我院2001年3月至2012年12月收治的8例90岁以上食管癌和贲门癌患者的手术治疗临床资料。其中，男5例，女3例，年龄90～98岁，平均（91．25±2．76）岁；贲门癌4例，食管癌4例。结果手术成功7例，剖胸探查1例，手术切除率87．5％，术后平均住院时间（24．25±7．09）d，术后出现并发症5例（62．5％），治愈率87．5％（7／8），住院死亡率为0．0％。结论对于90岁以上的超高龄食管癌和贲门癌患者，只要其心肺功能好，积极围手术期处理，手术治疗是安全、可行的。

Surgical strategies for super-elderly patients with esophageal or gastric cardia cancer aged over 90

Objective To explore the safety and feasibility of surgical treatment for patients with esophageal or gastric cardia cancer aged over 90. Methods The clinical data were retrospectively analyzed on 8 super-elderly patients （aged 90 to 98, an average of 91.25 ± 2.76, 5 males and 3 females） who had undergone surgical treatment during the period of Mareh 2001 to December 2012.4 of the patients had gastric cardia cancer and the remaining 4 had esophageal cancer. Results Surgery was successfully performed in 7 patients while exploratory thoracotomy was performed in one, with a rate of surgical incision of 87.5%. The length of hospital stay was （24.25 ± 7.09） days. 5patients developed postoperative complications but no patient was dead during hospitalization. The curative rate was 87.5% （7/8）. Conclusions For super-elderly patients with esophageal or gastric cardia cancer aged over 90, surgical treatment is safe and feasible under the conditions of better cardiopulmonary function and positive perioperative care.