Abstract
Because of the popularization and improvement of diagnostic study to the aged, a large number of operation recently was performed. But hypofunction that must be strongly influence to the prognosis was often noticed in clinical study. Preoperative status and complication were discussed for the upper abdomonal surgery, especially the gastric and bile duct surgery of the aged, and the results were as follows:
1) The majority of the aged had the wrong in body weight, EKG and vital capacity on clinical examination. Jaundice was noticed in 50% patients of the bile duct disease. 87% cases of gastrectomy were applied to II or III stage, on the other hand 70% of bile duct diseases were conformed to III or IV stage of the physical status.
2) Pulmonary complication was found most many times, while the infection and bleeding from the gastrointestinal tract in obstructive jaundice was most.
3) Postoperative complication was increased together with the physical status, extension of operation time and extended resection in gastrectomy.
4) Shock, hepatorenal syndrome and hemorrhage to digestive tract were most serious complication in the aged.
