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目的 探讨老年人贲门癌手术治疗的最佳术式。方法 阐述了对 1994年 4月至 1997年 4月期间采用经腹行贲门癌根治术 ,对老年人贲门癌 2 8例的围手术期状态、老年人贲门癌病理特征、经腹根治性淋巴结清扫的合理性、安全的切缘及手术注意事项。结果 术后心肺并发症无一例加重 ,平均清扫区域淋巴结数目增加 ,无一例吻合口瘘及狭窄 ,平均住院时间缩短。结论 老年人经腹贲门癌根治术只要掌握贲门周围解剖特征及安全切缘、手术注意点就能使老年人贲门癌在减少创伤、降低并发症情况下达到根治。
Objective To explore the best surgical treatment for cardiac cancer in the elderly. Methods The perioperative status of 28 cases of cardiac cancer in the elderly, the pathological features of elderly patients with cardia cancer, and radical radical lymph node dissection for elderly patients with cardia cancer were studied using the abdominal cardioma radical resection between April 1994 and April 1997. The rationality, safe margins and surgical precautions. Results No postoperative cardiac and pulmonary complications were aggravated. The average number of lymph nodes in the regional dissection was increased. There was no case of anastomotic leakage and stenosis. The average hospital stay was shortened. Conclusion For elderly patients undergoing abdominal gastrectomy, if they grasp the anatomical features, safety margins, and surgical attention points around the fontanelle, the elderly patients with cardia cancer can achieve radical cure with less trauma and lower complications.