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目的 分析和总结老年残胃癌的外科治疗方式及预后。方法 回顾性分析本院 1993 -0 1～ 2 0 0 3 -0 6普外科收治的2 5例老年残胃癌患者的临床资料。结果 本组病例中 ,Ⅰ期 3例 ,Ⅱ期 5例 ,Ⅲ期 8例 ,Ⅳ期 7例 ;根治性手术 12例 ( 4 8 0 % ) ,姑息性手术 9例 ( 3 6 0 % ) ,剖腹探查术 2例 ,全部手术切除病例均在术中行空肠营养造口 ,2例因术前发现肿瘤已广泛转移而未作手术。根治性切除后 1、3、5年生存率分别为 81 2 %、41 5 %、2 8 6%。结论 纤维胃镜加胃黏膜活检是确诊老年残胃癌的主要手段 ,应特别重视老年残胃癌的围手术期处理 ,根治性切除术是治疗老年残胃癌的合理选择 ,也是改善预后的重要因素。
Objective To analyze and summarize the surgical treatment and prognosis of elderly patients with residual gastric cancer. Methods The clinical data of 25 elderly patients with gastric cancer who were admitted to our hospital from 1993 -0 1 to 2 0 0 3 -0 6 were retrospectively analyzed. Results There were 3 cases in stage Ⅰ, 5 cases in stage Ⅱ, 8 cases in stage Ⅲ and 7 cases in stage Ⅳ. There were 12 cases (48O%) of radical surgery, 9 cases (36O%) of palliative surgery, Laparotomy in 2 cases, all surgical resection cases underwent jejunal nutrition stoma in surgery, 2 cases were found due to preoperative tumor has been widely transferred without surgery. The 1, 3, 5-year survival rates after radical resection were 81 2%, 41 5% and 286% respectively. Conclusion Fiber endoscopy and gastric mucosal biopsy are the main methods to diagnose gastric cancer in elderly patients. Special attention should be paid to perioperative treatment of elderly patients with residual gastric cancer. Radical resection is a reasonable choice for treatment of elderly patients with residual gastric cancer and an important factor in improving prognosis.