ID 111270
Author
Yasuda, Mitsuhiro Kyushu University
Saeki, Hiroshi Kyushu University
Nakashima, Yuichiro Kyushu University
Yukaya, Takafumi Kyushu University
Tsutsumi, Satoshi Kyushu University
Tajiri, Hirotada Kyushu University
Zaitsu, Yoko Kyushu University
Tsuda, Yasuo Kyushu University
Kasagi, Yuta Kyushu University
Ando, Koji Kyushu University
Imamura, Yu Kyushu University
Ohgaki, Kippei Kyushu University
Akahoshi, Tomohiko Kyushu University
Oki, Eiji Kyushu University
Maehara, Yoshihiko Kyushu University
Keywords
esophageal cancer
liver cirrhosis
surgical stress
two-stage operation
complication
Content Type
Journal Article
Description
Purpose : The aim of this study was to clarify the usefulness of two-stage operation for the patients with esophageal cancer who have liver dysfunction. Methods : Eight patients with esophageal cancer concomitant with liver dysfunction who underwent two-stage operation were analyzed. The patients initially underwent an esophagectomy, a cervical esophagostomy and a tube jejunostomy, and reconstruction with gastric tube was performed after the recovery of patients’ condition. Results : The average time of the 1st and 2nd stage operation was 410.0 min and 438.9 min, respectively. The average amount of blood loss in the 1st and 2nd stage operation was 433.5 ml and 1556.8 ml, respectively. The average duration between the operations was 29.8 days. The antesternal route was selected for 5 patients (62.5%) and the retrosternal route was for 3 patients (37.5%). In the 1st stage operation, no postoperative complications were observed, while, complications developed in 5 (62.5%) patients, including 4 anastomotic leakages, after the 2nd stage operation. Pneumonia was not observed through two-stage operation. No in-hospital death was experienced. Conclusion : A two-stage operation might prevent the occurrence of critical postoperative complications for the patients with esophageal cancer concomitant with liver dysfunction.
Journal Title
The Journal of Medical Investigation
ISSN
13496867
13431420
NCID
AA11166929
AA12022913
Publisher
Faculty of Medicine Tokushima University
Volume
62
Issue
3-4
Start Page
149
End Page
153
Sort Key
149
Published Date
2015-08
DOI (Published Version)
URL ( Publisher's Version )
FullText File
language
eng
TextVersion
Publisher