CAJ | 학술논문

目的探讨高龄胃癌患者应用Roux-en-y外科治疗的效果及有关问题.方法回顾性分析了接受手术治疗的86例70岁以上胃癌病例.结果 86例均经手术探查,其中远端胃次全切除59例,全胃切除5例,近端胃次全切除20例,联合脏器切除2例;术后有并发症30例,无手术死亡病例.结论高龄胃癌患者在积极加强围手术期处理的同时行Roux-en-y吻合术在胃切除尤其是胃癌根治性切除后消化道重建中有较好的应用价值.
목적 탐토고령위암환자응용Roux-en-y외과치료적효과급유관문제.방법 회고성분석료접수수술치료적86례70세이상위암병례.결과 86례균경수술탐사,기중원단위차전절제59례,전위절제5례,근단위차전절제20례,연합장기절제2례;술후유병발증30례,무수술사망병례.결론 고령위암환자재적겁가강위수술기처리적동시행Roux-en-y문합술재위절제우기시위암근치성절제후소화도중건중유교호적응용개치.
Objective To estimate the clinical characteristic and relevant problems of Roux-en-y surgical therapy for patients with gastric carcinoma in elderly patients. Method The clinical data of 86 elderly patients with gastric carcinoma over over years old were analyzed retrospectively. Result 86 cases received operations research,59 eases received distal end subtotal gastreetomy, 5 cases received total gastrectomy ,20 cases received proximal endsub-total gastrectomy, and 2 cases received short circuit,stoma or exploratory laparotomy. Conduslon Gastric carcinoma in elderly patients is not easy to find, and it is with more exist diseases, more postoperative complication. So it ineces-sary to enforce perioperative period management, and the options of operation methods should follow individual princi-ple.