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目的总结高龄胃癌围术期的有关问题。方法回顾性分析自2000年1月至2007年12月间年龄≥70岁、接受手术治疗的78例胃癌患者的临床资料。结果78例高龄胃癌手术者,45例行胃癌根治术,33例行非根治性手术;术后并发症发生率为30.8%(24/78),有合并症的患者术后并发症的发生率显著高于无合并症的患者;围手术期病死率为2.6%(2/78)。结论高龄胃癌患者伴合并疾病多者,术后并发症发生率高,应加强围手术期的处理,提高其手术的安全性,减少并发症的发生。
Objective To summarize the related issues of perioperative period of advanced gastric cancer. Methods A retrospective analysis of clinical data of 78 patients with gastric cancer aged 70 years or older who underwent surgical treatment from January 2000 to December 2007 was performed. Results 78 cases of advanced gastric cancer surgery, 45 cases of radical gastrectomy, 33 cases of non-radical surgery; postoperative complication rate was 30.8% (24/78), with complications of postoperative complications Significantly higher than those without complications; Perioperative mortality was 2.6% (2/78). Conclusion There are many patients with advanced gastric cancer with complicated diseases, and the incidence of postoperative complications is high. Perioperative management should be strengthened to improve the safety of surgery and reduce the incidence of complications.