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随着老年直肠癌患者的不断增多，给外科治疗带来一些特殊问题。我科自１９８６年～１９９４年时５５９例６０岁以上的老年直肠癌患者进行了手术治疗，占同期收治直肠癌的７１％，手术切除率８９％，围手术期死亡率１．４％，术后并发症１３．５９％，随访６７％，３年生存率保肛术９０％，ｍｉｌｅｓ手术包括姑息性切除７６％，肛门功能术后６～１２个月恢复正常。本文就老年直肠癌的临床特点、围手术期处理、术式选择、综合治疗的价值进行了讨论。认为对老年直肠癌的外科治疗必须考虑老年人的特点，重视术后自理能力的提高，姑息性手术与生存质量的提高同样是重要的。
With the increasing number of patients with rectal cancer in the elderly, there are some special problems for surgical treatment. In our department, from 1986 to 1994, 559 elderly patients with rectal cancer over 60 years of age had undergone surgical treatment, accounting for 71% of rectal cancer in the same period, surgical resection rate was 89%, and perioperative mortality rate was 1.4%. Post-complications were 13.59%. Follow-up was 67%. Three-year survival rates were 90% for sphincter preservation. Miles included palliative resection 76% and anal function returned to normal 6 to 12 months after surgery. This article discusses the clinical features, perioperative management, surgical selection, and comprehensive treatment value of elderly rectal cancer. It is considered that the surgical treatment of elderly rectal cancer must take into account the characteristics of the elderly, and it is important to pay attention to the improvement of self-care ability after surgery. Palliative surgery and quality of life are equally important.