97例高龄肺癌患者的外科手术治疗

目的：总结97例高龄肺癌患者的外科治疗方法及围手术期处理经验。方法：手术根治性切除82例，姑息性切除9例，手术探查6例，姑息性切除和探查手术有11例术中植入I125种子，术后75例经化疗等综合治疗。结果：手术切除率93．8％，手术病死率2．1％，术后并发症发生率95．9％，随访率93．8％。手术根治性切除术后1、3、5年生存率分别为80．8％、55．1％、28．2％。结论：年龄不是高龄肺癌手术的禁忌证，但高龄肺癌患者常并有多系统基础疾病，正确的手术方式及有针对性的围手术期处理是保证手术效果的关键。

Surgical Treatment for 97 Aged Patients with Advanced Lung Cancer

Objective： To sum up the methods of surgical treatment and the experience of perioperative care. Methods： Radical resection was done for 82 patients, palliative resection for 9 patients, and surgical exploration for 6 patients. Eleven patients were treated with palliative resection and surgical exploration were implanted with I125 seeds. Seventy-five patients received complex treatment including chemotherapy after the operation. Results： The surgical resection rate was 93.8%. Postoperative mortality was 2.1%. The morbidity was 95.9%. The follow-up rate was 93.8%. Survival rates of radical resection after 1, 3, and 5 years were 80.8%, 55.1%, and 28.2% respectively. Conclusion： Old age is not the contraindication of operation for advanced lung cancer patients. Advanced lung cancer patients, however, often suffer multi-system basic diseases. Correct surgical methods and perioperative care are the key to ensure the surgical treatment effects.