Jähne J, Piso P, Meyer H J, Pichlmayr R
Klinik für Abdominal- und Transplantationschirurgie, Medizinische Hochschule Hannover.
Langenbecks Arch Chir Suppl Kongressbd. 1996;113:486-8.
Due to improved perioperative management resection of gastric carcinoma in elderly patients is the treatment of choice. Although these patients often have age-related cardiovascular and pulmonary morbidity, postoperative morbidity and mortality even after extensive resections is low. The survival data are absolutely comparable to younger patients, and the prognosis is best after R0-resection which, therefore, should be the goal of surgery for gastric carcinoma in aged patients.
由于围手术期管理的改善,老年患者的胃癌切除术是首选治疗方法。尽管这些患者常伴有与年龄相关的心血管和肺部疾病,但即使是广泛切除术后,术后发病率和死亡率也较低。生存数据与年轻患者绝对可比,R0切除术后预后最佳,因此,R0切除应是老年胃癌患者手术的目标。