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老年人大肠癌的广泛手术——一种合理的治疗方法

[Extensive surgery of colorectal carcinoma in the elderly--a justified therapy approach].

作者信息

Kästel M, Schultheis K H, Ruckriegel S, Gebhardt C

机构信息

Abteilung für Abdominal-, Thorax- und endokrine Chirurgie, Klinikum Nürnberg Nord.

出版信息

Langenbecks Arch Chir Suppl Kongressbd. 1996;113:502-4.

PMID:9101913
Abstract

Over a 5-year period 1232 patients were operated on for carcinoma of the colon or rectum, 828 had curative surgery without and only 69 with resection of other organs. About half of the patients were 70 or more years old, but the older patients, especially in the extended resected cases, had the same or better 5-year survival and the same rate of complications or mortality. The overall prognosis depends on the complete resection of the tumor, the involvement of lymph nodes and the number of general risk factors, but not on the age of the patient.

摘要

在5年期间,1232例患者接受了结肠癌或直肠癌手术,828例接受了根治性手术,其中仅69例切除了其他器官。约一半患者年龄在70岁及以上,但老年患者,尤其是在扩大切除病例中,5年生存率相同或更高,并发症或死亡率也相同。总体预后取决于肿瘤的完全切除、淋巴结受累情况和一般风险因素的数量,而不取决于患者的年龄。

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