高龄结直肠癌的围手术期处理

目的：探讨高龄结直肠癌患者围手术期处理。方法：回顾性分析1998～2002年治疗的70岁以上高龄结直肠癌62例，手术治疗60例，其中根治性切除45例，姑息性手术15例。结果：2例放弃治疗，60例均安全度过围术期，无围手术期死亡。结论：高龄不是结直肠癌手术的禁忌证，重视围手术期处理可以提高高龄结直肠癌手术切除率，减少术后并发症，提高生存率，改善生活质量。

Perioperative management of the elderly patients with colorectal cancer

Objective:To explore the perioperative management of the elderly patients with large intestine cancer.Methods:The clinical data of 62 elderly patients(aged 70 years or more) with carcinoma of large intestine treated by operation between 1998 to 2002 were analyzed restrospectively.Among these patients,radical resection was performed in 45 cases and palliative operation in 15 cases.Results:Two cases gave up treatment.Sixty cases survived the perioperative stage.No death occurred during the perioperative period.Conclusions:Old age is not the contraindication for the elderly patients with large intestine cancer.Proper perioperative management may increase the operative resection rate,decrease the post operative complication,and improve the survival rate and life quality of the patients.