The Perioperative Management of the Elderly Patients with Chronic Obstructive Pulmonary Disease (COPD) and Rectal Carcinoma
Wang Jianping, Fan Lihua, Ji Jiansong,et al. Department of General Surgery, Lishui central hospital(the 5th affiliated hospital of Wenzhou medical college), Lishui City, Zhejiang Province 323000, China
Objective:To explore the perioperative management of the elderly patients with COPD and Rectal carcinoma.Methods:From June 1999 to June 2004, 25 patients over 70 years old with rectal carcinoma and COPD received surgical treatment. Data of them were analyzed retrospectively.Results:The coexisting diseases included different extent chronic bronchitis and pulmonary emphysema in all of 25 cases. The grades of COPD were as follow: 2 cases of grade 0, 5 cases of grade 1, 11cases of grade ⅡA, 5 cases of grade ⅡB, 2 cases of grade Ⅲ. Postoperative complications included wound dehiscence (l cases), wound infection (2 cases), pneumonia (8 cases), respiratory failure (2 cases). No death in perioperative period.Conclusion:COPD increase the surgical risk of elderly patients. But complete assessment of Patient's general health and preioperative management can raise the success rate of operation and decrease the incidence of complications.
【CateGory Index】： R735.37;