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[老年患者结直肠癌手术的结果]

[Results of colorectal carcinoma surgery in elderly patients].

作者信息

Hartel M, Hagmüller E, Stark E, Trede M

机构信息

Chirurgische Klinik, Klinikum Mannheim, Universität Heidelberg.

出版信息

Langenbecks Arch Chir Suppl Kongressbd. 1996;113:495-8.

PMID:9101911
Abstract

Between 1972 and 1995, 4434 operations for colorectal carcinoma were performed at the University Clinic of Mannheim. The increasing average age of the patients resulted in a higher lethality rate due to more emergency operations and concomitant failure of other organs. But the prognosis of patients over 70 years old can be compared with younger patients when hospital lethality is not considered. Thus the aim of treatment in older patients is also R0-resection, avoidance of emergency operations, optimum treatment of concomitant failure of other organs and multiple operations in extreme emergency cases.

摘要

1972年至1995年间,曼海姆大学诊所共进行了4434例结直肠癌手术。患者平均年龄的增加导致了更高的致死率,这是由于急诊手术增多以及其他器官出现功能衰竭。但是,如果不考虑医院内的致死率,70岁以上患者的预后可与年轻患者相媲美。因此,老年患者的治疗目标同样是进行R0切除、避免急诊手术、对其他器官的功能衰竭进行最佳治疗以及在极端紧急情况下进行多次手术。

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