Hagmüller E, Winter J, Richter A, Trede M
Chirurgische Universitätsklinik, Klinikum Mannheim, Fakultät für Klinische Medizin Mannheim. Ruprecht-Karl-Universität Heidelberg.
Langenbecks Arch Chir Suppl Kongressbd. 1996;113:477-9.
The comparison of our surgical tumor patients over 65 years of age treated in 1973-1974 or 1993-1994 showed the following results: increased average age and more patients with a greater unfavorable preoperative risk profile, an increase in colorectal tumors, a decrease in gastric carcinomas, no changes in tumor stages, more frequent sphincter-preserving operations for rectal tumors, an increase in the curative resection rate, lower mortality and shorter hospital stays. A curative resection of a malignant tumor is justified in the majority of elderly patients and should be performed considering the post-operative quality of life.
对1973 - 1974年或1993 - 1994年接受治疗的65岁以上外科肿瘤患者进行比较,结果如下:平均年龄增加,术前风险状况更不利的患者增多,结直肠肿瘤增加,胃癌减少,肿瘤分期无变化,直肠肿瘤保留括约肌手术更频繁,根治性切除率提高,死亡率降低,住院时间缩短。大多数老年患者行恶性肿瘤根治性切除是合理的,且应考虑术后生活质量进行手术。