Svartholm E, Larsson S A, Haglund U
Department of Surgery, Lund University, Malmö General Hospital, Sweden.
Acta Chir Scand. 1987 Nov-Dec;153(11-12):677-80.
Postoperative morbidity and mortality were studied in 72 patients who consecutively underwent total gastrectomy for primary gastric malignancy. Patients aged greater than or equal to 70 years (n = 32) were compared with younger patients (n = 40). Two patients in both groups died postoperatively, making the surgical mortality 6.3% and 5%, respectively. Major surgical complications arose postoperatively in 12 cases. Conservative measures (balloon dilation of anastomotic stricture, protracted drainage, and puncture and drainage of intraabdominal abscess) sufficed in five cases, while reoperation was required in seven. One of these seven patients died. The remaining three deaths were due to myocardial infarction, cerebral vascular insult and exudative pericarditis, respectively. The median postoperative hospital stay was 14 days in the younger and 15 days in the older patient group. Approximately half of the patients in both groups were alive 2 years postoperatively. Total gastrectomy is a meaningful and reasonably safe operation for primary gastric malignancy also in elderly patients.
对72例因原发性胃癌连续接受全胃切除术的患者的术后发病率和死亡率进行了研究。将年龄大于或等于70岁的患者（n = 32）与年轻患者（n = 40）进行比较。两组均有2例患者术后死亡，手术死亡率分别为6.3%和5%。术后出现严重手术并发症12例。5例采取保守措施（吻合口狭窄球囊扩张、长期引流以及腹腔脓肿穿刺引流）有效，7例需要再次手术。这7例患者中有1例死亡。其余3例死亡分别归因于心肌梗死、脑血管意外和渗出性心包炎。年轻患者组术后住院时间中位数为14天，老年患者组为15天。两组中约一半的患者术后2年仍存活。全胃切除术对于老年原发性胃癌患者也是一项有意义且相对安全的手术。
