Surgical therapy of senile gastric cancer complicated with portal hypertension
10.3760/cma.j.issn.0254-9026.2012.07.014
- VernacularTitle:老年胃癌患者合并门静脉高血压症的外科治疗
- Author:
Xiaofeng LI
- Publication Type:Journal Article
- Keywords:
Stomach neoplasms;
Hypertension,portal;
Surgical procedures,operative
- From:
Chinese Journal of Geriatrics
2012;31(7):593-595
- CountryChina
- Language:Chinese
-
Abstract:
Objective To investigate the surgical treatment method for senile gastric cancer complicated with portal hypertension. Methods Retrospective analysis was used for 88 elderly patients who suffered from gastric cancer complicated with portal hypertension.Among the cases,35 cases were treated with standard radical resection,38 cases treated with cytoreductive surgery,9 cases with palliative operation,and 6 cases cured with jejunal fistula.Operation complications,death and mortality,the risk factors of postoperative complications were observed. Results For all the patients,the operation time was (170±33) min,and the intraoperative bleeding was (490±100) ml.In 35 patients (39.8％) occurred operation complications,among which the incidence of incision infection and anastomotic leakage was the highest, which accounted for 14.3％ and 11.4％,respectively.In 5 years,69 patients were in death,the mortality rate was 78.4％ which most resulted from liver failure (21.7％).Logistic regression analysis showed that age,tumor diameter,operation time and perioperation bleeding were the risk factors for death ( 95％ CI:6.92-13.33,7.39-18.26,11.34 24.85,8.69-19.27). Conclusions The surgical approach for elderly gastric cancer patients complicated with portal hypertension should be chosen carefully,otherwise it will bring serious operation complications,and even endanger the lives of patients.
