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目的：探讨老年人食管癌的外科治疗。方法：对老年人食管癌１８４例进行总结分析。结果：老年人与非老年人食管癌，手术切除术的１、３、５年生存率相仿；但老年人并存病多，本组术前并存其它疾病的１１０例，并存率５９．８％；术前并存病的存在，与术后并发症的发生率相关明显，Ｐ＜０．０５。结论：重视老年人食管癌的全面检查和并存病的治疗，是提高切除率，降低术后并发症的重要措施；经全面检查，若无远处转移，又无手术绝对禁忌症的患者，经适当准备，就应给予手术探查的机会，术中只要局部条件许可，应尽量切除原发灶，为综合治疗创造条件，以年高为由放弃探查，以及手术探查中的消极态度，是影响老年人食管癌治疗效果的不利因素；术前常规呼吸道准备，术中、术后良好的心肺功能监测和呼吸管理，及时清除口腔及呼吸道中的分泌物，必要时延迟麻醉拔管或作气管切开，应用呼吸机辅助呼吸，是降低术手并发症和死亡率的有效措施。
Objective: To investigate the surgical treatment of esophageal cancer in the elderly. Methods: A total of 184 cases of esophageal cancer in the elderly were analyzed. RESULTS: The survival rates of esophageal cancer and esophageal cancer in elderly and non-elderly patients were similar at 1, 3, and 5 years. However, there were many coexistent diseases in the elderly. There were 110 cases of other diseases coexisting preoperatively, and the coexistence rate was 59.8%. The presence of preoperative complications was significantly associated with the incidence of postoperative complications, P<0.05. Conclusion: Paying attention to the comprehensive examination of esophageal cancer in the elderly and the treatment of coexisting diseases is an important measure to increase the resection rate and reduce the postoperative complications. After comprehensive examination, if there is no distant metastasis, there is no absolute contraindication for surgery. With proper preparation, surgical exploration should be given. As long as local conditions permit, intraoperative primary lesions should be removed as much as possible to create conditions for comprehensive treatment, to abandon the exploration on the basis of the annual high, and the negative attitude in surgical exploration is to affect the elderly. Adverse factors in the treatment of human esophageal cancer; routine preoperative respiratory preparation, good heart and lung function monitoring and respiratory management during and after surgery, timely removal of oral and respiratory secretions, delayed anesthesia for tracheal extubation or tracheotomy if necessary The use of ventilator-assisted breathing is an effective measure to reduce operative complications and mortality.