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目的总结70岁以上高龄食管癌、贲门癌手术治疗经验。方法回顾性分析梅州市人民医院手术治疗的70岁以上高龄食管癌、贲门癌75例临床资料。结果 75例中术前伴发其他疾病共51例,占68%。手术切除69例,切除率92%。术后发生并发症26例,占34.7%,其中胸积液10例;肺炎8例;心房纤颤2例;呼吸衰竭2例;吻合漏4例;死亡1例。随访1～7年,1年生存率73.3%,3年生存率38.7%,5年生存率22.6%。结论 70岁以上高龄食管癌、贲门癌可耐受手术治疗,此类患者伴发病较多,加强围手术期处理可提高手术安全性。
Objective To summarize the experience of surgical treatment of esophageal and cardiac cancer in patients over 70 years of age. Methods The clinical data of 75 cases of esophageal and cardiac cancer older than 70 years who underwent surgery in Meizhou People ’s Hospital were retrospectively analyzed. Results Among 75 cases, 51 cases were associated with other diseases preoperatively, accounting for 68%. Surgical resection in 69 cases, resection rate was 92%. Postoperative complications occurred in 26 cases, accounting for 34.7%, of which 10 cases of pleural effusion; 8 cases of pneumonia; 2 cases of atrial fibrillation; respiratory failure in 2 cases; anastomotic leakage in 4 cases; 1 died. The follow-up ranged from 1 to 7 years. The 1-year survival rate was 73.3%, the 3-year survival rate was 38.7%, and the 5-year survival rate was 22.6%. Conclusion The esophageal and cardia cancers over the age of 70 can tolerate surgical treatment. The patients with concomitant morbidity are more likely to be treated with perioperative management, which can improve the operation safety.