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Chinese Journal of Clinicians(Electronic Edition) ›› 2021, Vol. 15 ›› Issue (11): 848-851. doi: 10.3877/cma.j.issn.1674-0785.2021.11.009

• Clinical Research • Previous Articles     Next Articles

Perioperative management of elderly patients with gastrointestinal tumors

Zhi Zhang1, Guoli Gu1,(), Yuhui Zhang2, Hairui Yang1, Pengfei Yu1, Zhiwei Dong1   

  1. 1. Department of General Surgery, Air Force Medical Center, Beijing 100142, China
    2. Department of General Surgery, Air Force Medical Center, Beijing 100142, China; Graduate School of Hebei North University, Zhangjiakou 075000, China
  • Received:2021-08-16 Online:2021-11-15 Published:2022-04-02
  • Contact: Guoli Gu

Abstract:

Objective

To summarize our experience with the perioperative management of elderly patients with gastrointestinal tumors to guide clinical practice.

Methods

Clinical data of 110 elderly patients aged ≥80 years old with gastrointestinal tumors who were admitted to the Department of General Surgery of Air Force Medical Center between January 2014 and July 2021 were analyzed retrospectively. A total of 117 operations were performed on the patients. The perioperative management experience was summarized.

Results

Among the 110 cases, 75 were male and 35 were female. The age distribution range was 80-95 years old. All patients underwent open operation, including radical operation for gastric carcinoma and radical operation for colorectal cancer. The overall incidence of postoperative complications was 53.8%, and the mortality rate was 2.72%.

Conclusion

Most elderly patients with gastrointestinal tumors have underlying diseases, and the risk of surgery is high, but age is neither a surgical contraindication, nor a reliable predictor of surgery outcome. Reasonable perioperative management is the key to reducing the risk of surgery.

Key words: Gastrointestinal tumor, Elderly patients, Perioperative period

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