超高齢者(85歳以上)消化器癌患者の外科治療

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  • EVALUATION OF SURGICAL TREATMENT FOR AGED PATIENTS WITH GASTROENTEROLOGICAL CANCER (OVER 85 YEARS OF AGE)

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We retrospectively analyzed the records of 29 cases of gastroenterological cancer in aged patients over 85 years treated at the hospital between 1992 and 1996.<br> There were 13 patients with gastric cancer, 14 patients with colorectal cancer and two patients with gall bladder cancer. Postoperative complications were observed in about half (14 patients) of the subjects. Delirium and respiratory problems were common complications. The mean hospital stay after operation was 38 days, and seven hospital death es occurred, who had advanced cancer. There was no correlation between preoperative laboratory findings and postoperative complications, but operative time and blood loss should be considered risk factors for postoperative complications. Morbidity rate and mortarity rate of patients with colorectal cancer were lower than those of patients with gastric cancer.<br> In conclusion, operation for elderly patients except those with advanced gastric cancer can be performed safely. The morbidity rate of patients with advanced cancer was very high, but more than 60% of them attained an improvement in performance status. It is thought that operation can be indicated for patients with advanced gastric cancer if the operation may afford an improvement in the quality of life.

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