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[80岁以上消化系统癌症患者的手术治疗]

[Surgery of digestive system cancers in patients over 80 years of age].

作者信息

Witzig J A, Morel P, Erne M, Egeli R, Borst F, Rohner A

机构信息

Clinique de chirurgie digestive, Hôpital cantonal universitaire, Genève.

出版信息

Helv Chir Acta. 1993 Jun;59(5-6):767-9.

PMID:8376138
Abstract

231 patients over 80 years old were operated at the Clinique de chirurgie digestive of Geneva University Hospital between 1981 and 1990 for a malignant tumor of the gastrointestinal tract. The following parameters were studied: intra- and postoperative morbidity and mortality, duration and quality of survival. Surgery proved valid in this age group given its low mortality (15%). Postoperative morbidity (44%) did not prolong hospital stay, since 90% of all patients were discharged within one month of surgery. Following surgery, quality of life was excellent: 75% of patients returned home, and 80% were better off than pre-operatively. Such operations provide better results in term of mortality and survival when performed on an elective basis and curatively.

摘要

1981年至1990年间,231名80岁以上的患者在日内瓦大学医院消化外科接受了胃肠道恶性肿瘤手术。研究了以下参数:术中和术后的发病率和死亡率、生存时间和质量。鉴于该年龄组的低死亡率(15%),手术被证明是有效的。术后发病率为44%,但并未延长住院时间,因为所有患者中有90%在手术后一个月内出院。手术后,生活质量极佳:75%的患者回家,80%的患者状况比术前更好。这种手术在择期和根治性进行时,在死亡率和生存率方面能取得更好的结果。

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