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胰腺和壶腹周围癌的发病率正在增加,但病人经常是老年人,约80%的病例发生在60～80岁。多数作者强调没有任何正当理由对70岁以上病人施行较大的切除术。因为死亡率和併发症率极高而生存时间短。但初步分析说明年龄本身不是切除术的限制因素,同样在胃和结肠直肠手术中也指出过此点。这就鼓励一些作者对70岁或更老的胰腺和壶腹周围癌的病例继续采取手术治疗方针。
The incidence of pancreatic and periampullary cancers is increasing, but patients are often elderly, and about 80% of cases occur in the 60-80 years. Most authors emphasize that there is no legitimate reason to perform a larger resection of patients over the age of 70. Because of the high mortality and complication rate, the survival time is short. However, preliminary analysis shows that age itself is not a limiting factor for resection. This is also indicated in gastric and colorectal surgeries. This encourages some authors to continue surgical treatment of 70-year-old or older cases of pancreatic and periampullary cancer.