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目的:探讨老年胃癌的外科治疗和围术期处理方法。方法:回顾性分析145例60岁以上胃癌患者的临床资料。4例胃癌穿孔者行急诊手术,其中2例行穿孔修补,2例行姑息性切除,余141例均行择期手术。结果:145例老年胃癌患者术后39例(26.9%)出现并发症,死亡4例(2.8%)。结论:手术切除是老年胃癌最好的治疗方法,合理的手术方案及加强围术期处理是提高疗效、降低死亡率的重要措施。
Objective: To investigate the surgical treatment of elderly patients with gastric cancer and perioperative management. Methods: The clinical data of 145 patients with gastric cancer over the age of 60 were retrospectively analyzed. Four cases of gastric cancer perforation underwent emergency surgery, of which 2 were perforation repair, 2 cases of palliative resection, more than 141 cases underwent elective surgery. Results: Complications were found in 39 cases (26.9%) of 145 elderly patients with gastric cancer and 4 died (2.8%). Conclusion: Surgical resection is the best treatment for elderly patients with gastric cancer. Reasonable surgical treatment and perioperative management are important measures to improve efficacy and reduce mortality.