Analysis of key factors for the successful chest operation in elderly patients with esophageal cancer or carcinoma of gastric cardia
10.3760/cma.j.issn.0254-9026.2009.02.037
- VernacularTitle:70岁以上食管癌和贲门癌患者的开胸手术分析
- Author:
Bin NI
;
Haitao MA
;
Jun ZHAO
;
Chang LI
;
Xinyu SONG
;
Xing TANG
- Publication Type:Journal Article
- Keywords:
Esophageal neoplasms;
Cardia;
Surgical procedures;
operation
- From:
Chinese Journal of Geriatrics
2009;28(2):119-121
- CountryChina
- Language:Chinese
-
Abstract:
Objective To explore the operative treatment of esophageal carcinoma or carcinoma of gastric cardia in patients aged 70 years or older. Methods One thousand and eighty eight patients with esophageal cancer or carcinoma of gastric cardia were retrospectively reviewed.These patients were divided into 4 groups:aged 41～69,70～74,75～79 and 80～90 years.The postoperative complications,hospjtalization time,prognosis, operative selection and perioperative treatment were analyzed. Results Incidences of complications of pulmonary infection,arrhythmia,psychiatric symptom and unhealing of surgical incision were obviously increased,and the average hospitalization time were significantly prolonged in patients aged 70 years or older.Incidence of pulmonary infection and the average hospitalization time were significantly increased in patients aged 80～90 years compared with other groups.There were 4 death cases and 1084 cured cases. Conclusions With regard to elderly patients for esophageal carcinoma or carcinoma of gastric eardia,handling the occurrence of postoperative complications,selecting suitable patients to take operation and appropriate perioperative treatments are the keys for successful operation.
