80岁以上结直肠癌患者手术治疗效果分析
| 作者: |
1刘猛,
2王今
1 首都医科大学密云教学医院普外一科，北京 101500 2 首都医科大学附属北京友谊医院普外科，北京 100050 |
| 通讯: |
王今
Email: iamwang_jin@sina.com |
| DOI: | 10.3978/j.issn.2095-6959.2016.07.009 |
摘要
目的：探讨80岁以上结直肠癌患者的临床特点及手术治疗效果。方法：回顾性分析我院2003年4月至2013年8月诊治的136例80岁以上结直肠癌患者临床资料，分析其临床及诊治特点、围手术期处理、手术治疗方法、术后并发症及预后。结果：术前合并症及并存病者84.6%(115/136)、术后出现并发症者54.4%(74/136)，术后30 d内病死率为8.1%。根治性手术率72.1%，1、3、5年生存率分别为77%、43%、25%。结论：年龄并非高龄结直肠癌患者的手术禁忌，经过良好的围手术期处理，可取得较好的近期效果，但远期疗效并不理想。
关键词：
结直肠癌
高龄
80岁以上
手术
预后
Surgery for colorectal cancer in patients over 80 years
CorrespondingAuthor: WANG Jin Email: iamwang_jin@sina.com
DOI: 10.3978/j.issn.2095-6959.2016.07.009
Abstract
Objective: To study the clinical characteristics and the effect of surgery treatment of elderly patients over 80 years
with colorectal cancer. Methods: Clinical data of 136 patients over 80 years with colorectal cancer in our hospital from April 2003 to August 2013 were retrospectively analyzed, and analyzed its characteristics, perioperative management, surgical treatment, postoperative complications and prognosis. Results: Preoperative complications and coexisting disease accounted for 84.6% (115/136), postoperative complications 54.4% (74/136), the mortality rate was 8.1% within 30 days after surgery. Radical surgery rate was 72.1%. The 1-, 3-, 5-year survival rates were 77%, 43% and 25%. Conclusion: Advanced age is not a contraindication of elderly patients with colorectal cancer surgery. As long as taken the strong perioperative management, it can achieve a favorable short-term outcomes, but long-term prognosis is not satisfactory.
with colorectal cancer. Methods: Clinical data of 136 patients over 80 years with colorectal cancer in our hospital from April 2003 to August 2013 were retrospectively analyzed, and analyzed its characteristics, perioperative management, surgical treatment, postoperative complications and prognosis. Results: Preoperative complications and coexisting disease accounted for 84.6% (115/136), postoperative complications 54.4% (74/136), the mortality rate was 8.1% within 30 days after surgery. Radical surgery rate was 72.1%. The 1-, 3-, 5-year survival rates were 77%, 43% and 25%. Conclusion: Advanced age is not a contraindication of elderly patients with colorectal cancer surgery. As long as taken the strong perioperative management, it can achieve a favorable short-term outcomes, but long-term prognosis is not satisfactory.