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目的:分析超75岁高龄食管癌患者外科手术的治疗经验。方法:分析本院2010年2月至2015年7月32例75岁以上食管癌患者的外科手术临床资料。结果:全组手术均完全切除肿瘤并重建食管,手术时间为(192±56)min,术后死亡2例,死亡原因分别是吻合口瘘和多器官功能衰竭。其余均治愈出院。结论:对高龄食管癌患者加强围手术期处理,可以减少并发症的发生,提高手术的安全性的有效方法,手术仍可以作为首选。
OBJECTIVE: To analyze the experience of surgical treatment in patients over 75 years old with esophageal cancer. Methods: The clinical data of 32 patients with esophageal cancer over the age of 75 from February 2010 to July 2015 in our hospital were analyzed. Results: All patients underwent resection of the tumor and reconstruction of the esophagus completely. The operation time was (192 ± 56) min and the postoperative death occurred in 2 patients. The causes of death were anastomotic fistula and multiple organ failure. The rest were cured. Conclusion: It is an effective method to enhance the perioperative management of elderly patients with esophageal cancer, reduce the incidence of complications and improve the safety of surgery. Surgery can still be the first choice.