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目的 探讨高龄大肠癌围手术期处理的有关问题 ,提高外科治疗效果。方法 回顾性分析1985～ 1995年间 12 0例 70岁以上大肠癌病人的外科治疗资料。结果 高龄大肠癌病人术前并存病多(78 3 % ) ,肿瘤切除率为 90 % ,根治性切除率 66 7% (80 / 12 0 ) ,术后并发症发生率 44 2 % ,围手术期死亡 6例 ,病死率 5 %。结论 手术切除仍是高龄大肠癌最佳治疗方法 ,术前对并存病的合理有效治疗以及严格的围手术期监测处理是减少术后并发症、降低病死率、提高疗效的关键
Objective To explore the issues related to the perioperative management of advanced colon cancer and improve the surgical treatment. Methods Retrospective analysis of surgical treatment data of 120 patients with colorectal cancer over the age of 70 from 1985 to 1995. Results The preoperative coexisting disease was 783.3% in patients with advanced colorectal cancer. The tumor resection rate was 90%. The radical resection rate was 667% (80/120). The postoperative complication rate was 44%. Perioperative period Six patients died and the mortality rate was 5%. Conclusions Surgical resection is still the best treatment for colorectal cancer in old age. Preoperative rational and effective treatment of coexisting diseases and strict perioperative monitoring and treatment are the key to reduce postoperative complications, reduce mortality and improve efficacy.