目的探讨80岁以上超高龄结直肠癌患者的围手术期处理。方法回顾性分析2006年6月至2012年6月收治的41例80岁以上结直肠癌手术患者的临床资料。结果全组41例中急诊手术4例，择期手术37例。根治性手术31例，姑息性切除手术9例，仅行横结肠造瘘1例。15例发生术后并发症，39例顺利出院，2例死亡。结论对于结直肠癌患者，超高龄并非手术禁忌证，只要做到对患者全身各系统功能全面准确的评估和监护，尤其是心肺功能的保护和营养状况的改善，控制手术创伤及手术时间，仍然可获得良好的效果。%Objective To investigate the perioperative management of patients over 80 years old with colorectal cancer.Methods From June 2006 to June 2012, clinical data of 41 patients over 80 years old with colorectal cancer was analyzed retrospectively. ResultsOf all patients, 4 patients underwent emergency operation, 37 patients accepted limited operation. 31 patients underwent radical resection and 9 patients underwent palliative resection, transverse colostomy was performed in 1 patient. 15 patients had complications, 39 patients were healing well completely except that 2 patients died after operation.Conclusions For colorectal cancer patients, old age should not be surgical contraindication. Short-term outcomes will be achieved while paying attention to organ functions especially the cardiorespiratory function and nutritional status controlling surgical trauma and surgical time.
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