The surgical safety analysis of elderly patients with thoracic esophageal squamous cell carcinoma

吴杲; 魏大中; 解明然; 田界勇; 马冬春

doi:10.3969/j.issn.1007-3969.2014.02.012

您当前的位置：

首页 >

文章列表页 >

The surgical safety analysis of elderly patients with thoracic esophageal squamous cell carcinoma

更新时间：2025-12-31

- The surgical safety analysis of elderly patients with thoracic esophageal squamous cell carcinoma
- China Oncology Vol. 24, Issue 2, Pages: 151-154(2014)
- 作者机构：
  
  安徽医科大学附属省立医院胸外科,安徽,合肥,230001
- 作者简介：
- 基金信息：
- DOI：10.3969/j.issn.1007-3969.2014.02.012
  CLC：
- Published Online：07 March 2014，
  
  Published：07 March 2014
- 稿件说明：
移动端阅览
吴杲,魏大中,解明然,田界勇,马冬春. 老年胸段食管鳞癌患者的手术安全性分析[J]. 中国癌症杂志, 2014, 24(2): 151-154.

吴杲, 魏大中, 解明然, et al. The surgical safety analysis of elderly patients with thoracic esophageal squamous cell carcinoma[J]. China Oncology, 2014, 24(2): 151-154.
吴杲,魏大中,解明然,田界勇,马冬春. 老年胸段食管鳞癌患者的手术安全性分析[J]. 中国癌症杂志, 2014, 24(2): 151-154. DOI： 10.3969/j.issn.1007-3969.2014.02.012.

吴杲, 魏大中, 解明然, et al. The surgical safety analysis of elderly patients with thoracic esophageal squamous cell carcinoma[J]. China Oncology, 2014, 24(2): 151-154. DOI： 10.3969/j.issn.1007-3969.2014.02.012.

摘要

背景与目的：老年食管癌发病率呈上升趋势。本研究旨在比较高龄老人和年轻老人两组胸段食管鳞癌患者临床病理资料、手术及术后情况，分析不同手术入路对高龄老年患者的影响。方法：回顾性分析2006年1月—2008年12月安徽医科大学附属省立医院胸外科收治的胸段食管鳞癌老年患者(60岁以上)371例。其中≥75岁的高龄老人53例，60~74岁的年轻老人318例，分别比较两组患者临床病理特征、手术情况、并发症及术后院内死亡率和平均住院时间，同时根据手术入路不同分为左进胸入路与右进胸入路，比较手术时间、术中出血量及术后并发症发生率等情况。结果：高龄老人组与年轻老人组相比术前合并症更多，术前ASA分级更高，术后并发症、住院时间及院内死亡率均明显增高，高龄老人组左胸入路较右胸入路术后并发症特别是肺部并发症更少(13.0% vs 40.0%)，差异有统计学意义(P0.05)。结论：≥75岁的老年胸段食管鳞癌患者手术风险较大，可以通过选择相对简单的手术方式，减少术后并发症特别是肺部并发症的发生率。

Abstract

Background and purpose: The incidence rate of elderly esophageal carcinoma patients is increasing year by year. In this study

the clinicopathologic factors

operational factors and postoperative complications were compared between the older and the younger elderly patients with thoracic esophageal squamous cell carcinoma (ESCC)

and the influence of different surgical approaches to older elderly patients were analyzed. Methods: A retrospective review of 371 cases of elderly patients with thoracic esophageal squamous cell carcinoma (≥60 years) between Jan. 2006 and Dec. 2008 were performed. The patients were divided into two age groups. The patients over 75 years old named the older elderly group including 53 patients

and the patients between 60-74 years named the younger elderly group including 318 patients

the clinicopathological factors

operational factors

postoperative hospital mortality and average length of stay were compared. Meanwhile

according to different surgical approaches

the comparison of the left chest and right chest approach of operative time

blood loss and postoperative complication rate

and so on and so forth. Results: The older elderly group compared with the younger elderly group had more preoperative complications. Preoperative ASA classification and postoperative complications

length of stay and hospital mortality rates were significantly higher. The older elderly group over the right chest approach had less postoperative complications

especially pulmonary complications

the results were statistically significant.(13.0% vs 40.0%，P0.05) Conclusion: The patients over 75 years old with thoracic esophageal squamous cell carcinoma have a higher risk during the operation

we can choose relatively simpler operation approach to reduce the incidence of postoperative complications

especially pulmonary complications.

关键词

Keywords

references

Views

3149

下载量

CSCD

Alert me when the article has been cited

提交

Tools

Publicity Resources

Influencing factors of cardiovascular adverse events risk in elderly patients with esophageal cancer undergoing video-assisted thoracoscopic surgery and nomogram prediction model construction

Exploring innovative models of surgical treatment for rectal cancer

The value of surgery in the patients with de novo stage Ⅳ breast cancer

Prognostic factor analysis of surgical treatment for cerebellar metastases in 36 patients

A study on correlation of acetyltransferase KAT3b and ABCE1 acetylation in esophageal cancer

Related Author

Minghua CHEN

Bang ZENG

Xuehu TANG

Feng LI

Dakui LUO

Xinxiang LI

Peifen FU

Lixue WANG

Related Institution

Department of General Thoracic Surgery, The First Hospital of Danjiangkou City

Department of Anesthesiology, The First Hospital of Danjiangkou City

Department of Colorectal Surgery, DivisionⅡ, Fudan University Shanghai Cancer Center; Department of Oncology, Shanghai Medical College, Fudan University

Department of Breast Center, The First Affiliated Hospital, Zhejiang University School of Medicine

Department of Neurosurgery, Fudan University Shanghai Cancer Center; Department of Oncology, Shanghai Medical College, Fudan University

AI问答

⁰