论文部分内容阅读
目的探讨老年胃癌的临床治疗体会。方法 121例患者均行手术治疗。根治性全胃切除21例;近端胃癌根治术15例;远端胃癌根治术59例;姑息性切除16例;剖腹探查术共10例。结果平均随访时间37个月,总体中位生存时间33个月。结论尽可能实施根治性手术治疗,积极处理合并疾病,加强围手术期管理,是提高老年胃癌患者生存率,减少术后并发症及病死率的关键。
Objective To explore the clinical treatment of elderly patients with gastric cancer. Methods 121 patients underwent surgical treatment. Radical gastrectomy in 21 cases; proximal radical gastrectomy in 15 cases; distal radical gastrectomy in 59 cases; palliative resection in 16 cases; laparotomy in 10 cases. Results The average follow-up time was 37 months and the overall median survival time was 33 months. Conclusion As far as possible the implementation of radical surgical treatment, active management of combined disease and strengthen perioperative management is to improve the survival rate of elderly patients with gastric cancer, reduce postoperative complications and mortality is the key.