Title: Perioperative period management in aged patients with gastric carcinoma: 46 cases analyses
Abstract: Objective To study the clinical characteristics and the rational management methods of perioperative period in aged patients with gastric carcinoma. Methods The clinical data of 46 patients above 65 years old with gastric carcinoma were retrospectively analyzed in the period of from 1999 to 2003. Results The average age was 73.4 years old, male and female ratio was 5.5:1, the average course of the disease was 4.2 months. Early diagnosis rate was 2%. Preoperative co-exist disease rate was 54%, and the rate of over than two kinds of co-exist diseases was 35%. Radical resection rate was 80%, and nonredicical resection rate was 17%. Lymph node metastasis rate was 78%. The rates attained standard radical resection A, B and C grade were 20%, 64.4% and 15.6% respectively. Complication rate was 34.7%, and the rate of two or more complications happening simultaneously was 15.2%. there was no case who died of operation.Conclusion Aged patients with gastric carcinoma were characterized by most cases in the middle or late stage, more co\|exist diseases, more postoperative complications and higher tumor resection rate. The whole body conditions should be evaluated before operation, the co\|exist diseases should be treated actively. The rational operative mode should be worked out to avoid unnecessary extensive operation range. All kinds of postoperative complications which maybe occur should be prevented and treated actively to reduce the risk of operation and mortality rate.
Publication Year: 2004
Publication Date: 2004-01-01
Language: en
Type: article
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