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[老年体弱患者低位直肠癌的治疗。个人病例系列]

[Low rectal cancer treatment in frail elderly patients. A personal series].

作者信息

Benfatto G, Biondi A, Di Stefano G, Basile G, Jiryis A, Strano G, Mugavero F, Cinardi N, Benfatto S M

机构信息

Università degli Studi di Catania, Departimento di Chirurgia, Sezione di Chirurgia Generale ed Oncologica, Italy.

出版信息

G Chir. 2007 May;28(5):203-8.

Abstract

Rectal cancer predominantly affects elderly people, who are however more likely to have concomitant medical diseases and, therefore, are at higer surgical risk. After a careful selection of the patients, some surgical procedures can be performed safely. We studied a series of 149 patients affected by low rectal cancer; of these, 46 were aged 75 or older and comprise the elderly group; 94 curative resections, 19 palliative surgical treatments, 31 local excisions were performed. This approach demonstrated to be safe and effective among older patients too; therefore we may conclude that it is associated with a good control of surgical risk and of cancer in selected patients.

摘要

直肠癌主要影响老年人,然而这些老年人更有可能患有伴发疾病,因此手术风险更高。在仔细挑选患者后,一些手术操作可以安全进行。我们研究了一系列149例低位直肠癌患者;其中,46例年龄在75岁及以上,组成老年组;进行了94例根治性切除术、19例姑息性手术治疗、31例局部切除术。这种方法在老年患者中也证明是安全有效的;因此我们可以得出结论,在选定的患者中,它与手术风险和癌症的良好控制相关。

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