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目的 高龄结直肠癌手术治疗的临床经验探讨。方法 对 6 5例 70岁以上结直肠癌手术治疗加以分析 ,强调围手术期加强管理的临床意义。结果 除 1例因肺功能差无法实施手术外 ,余 6 4例结直肠癌均行一期手术。无手术死亡。 4例术后发生并发症 :吻合口漏 1例 ,腹膜炎 1例 ,腹壁创口感染 1例 ,肠粘连 1例。结论加强围手术期管理可减少并发症 ,降低手术死亡率。高龄不是影响结直肠癌手术的因素
Objective To investigate the clinical experience of surgical treatment of colorectal cancer in elderly patients. Methods 65 cases of colorectal cancer over the age of 70 were analyzed, and emphasized the clinical significance of perioperative management. Results In addition to a case of poor pulmonary function due to the inability to perform surgery, more than 64 cases of colorectal cancer were underwent a surgery. No surgery died. Four cases had postoperative complications: anastomotic leakage in 1 case, peritonitis in 1 case, abdominal wall infection in 1 case and intestinal adhesion in 1 case. Conclusion Strengthening perioperative management can reduce complications and reduce operative mortality. Elderly is not a factor affecting colorectal cancer surgery