老年人的食管切除术
Oesophageal resection in the elderly.
作者信息
Keeling P, Gillen P, Hennessy T P
机构信息
Trinity College, Department of Surgery, St James's Hospital, Dublin.
出版信息
Ann R Coll Surg Engl. 1988 Jan;70(1):34-7.
The outcome of transthoracic resection for carcinoma of the oesophagus and cardia was compared in seventy six patients over seventy years of age with that of 179 patients under seventy. A resectability rate of 89% was achieved in the over 70 group and 91% in the under seventy group. Hospital mortality at 3 months was 21% in the elderly group and 14% in the younger age group (P = NS). Postoperative pulmonary infection and cardiac arrhythmias were more frequent in the elderly but postoperative hospital stay was almost identical in both groups. There were three fatal anastomotic leaks in the over seventy group and six in the under seventies. Survival figures at one and five years showed no significant difference between the groups. We conclude that age alone is not a contraindication to surgical resection of carcinoma of the oesophagus and cardia.
对76例70岁以上食管癌和贲门癌患者经胸切除的结果与179例70岁以下患者的结果进行了比较。70岁以上组的可切除率为89%，70岁以下组为91%。老年组3个月时的医院死亡率为21%，年轻组为14%（P=无显著性差异）。老年患者术后肺部感染和心律失常更为常见，但两组术后住院时间几乎相同。70岁以上组有3例致命性吻合口漏，70岁以下组有6例。两组1年和5年的生存率无显著差异。我们得出结论，单纯年龄并非食管和贲门癌手术切除的禁忌证。
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