喫煙が膵癌周術期に与える影響 Negative influence of smoking in patients with pancreatic cancer during the perioperative period of pancreatic resection
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- 堀野 敬 HORINO Kei
- 公立玉名中央病院外科 Department of Surgery, Tamana Central Hospital
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- 高森 啓史 TAKAMORI Hiroshi
- 熊本大学大学院消化器外科 Department of Gastroenterological Surgery, Graduate School of Medical Sciences, Kumamoto University
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- 馬場 秀夫 BABA Hideo
- 熊本大学大学院消化器外科 Department of Gastroenterological Surgery, Graduate School of Medical Sciences, Kumamoto University
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著者
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- 堀野 敬 HORINO Kei
- 公立玉名中央病院外科 Department of Surgery, Tamana Central Hospital
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- 高森 啓史 TAKAMORI Hiroshi
- 熊本大学大学院消化器外科 Department of Gastroenterological Surgery, Graduate School of Medical Sciences, Kumamoto University
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- 馬場 秀夫 BABA Hideo
- 熊本大学大学院消化器外科 Department of Gastroenterological Surgery, Graduate School of Medical Sciences, Kumamoto University
抄録
喫煙は膵癌発症の危険因子であるばかりではなく周術期合併症の危険因子でもある．しかしながら，膵癌手術の周術期に喫煙が及ぼす影響はほとんど報告されていない．膵癌手術症例96例を対象に喫煙の周術期に及ぼす影響をretrospectiveに解析した．本解析では，喫煙は手術部位感染（創部）の有意な危険因子であったが，循環器・脳血管・呼吸器術後合併症，入院期間および予後には影響を及ぼさなかった．この結果をもとに喫煙が膵癌手術周術期に与える影響を消化器外科領域における喫煙と周術期合併症の観点から概説した．<br>
Tobacco smoking is not only a risk factor for pancreatic cancer but also for various perioperative complications. However, the effects of smoking during the perioperative period of pancreatic cancer have been not reported. Therefore, we performed an analysis of the relationship between smoking and the perioperative course of pancreatic cancer. Between April 2005 and March 2011, 96 pancreatic cancer patients underwent pancreatic resection in Kumamoto University Hospital. Seventeen parameters were analyzed. Smoking was a significant risk factor for surgical site infection, but did not influence circulatory, brain, or respiratory complications, the period of hospitalization, or prognosis. We review the influence of smoking in pancreatic cancer patients during the perioperative period.<br>
収録刊行物
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- 膵臓 = The Journal of Japan Pancreas Society
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膵臓 = The Journal of Japan Pancreas Society 27(2), 132-138, 2012-04-25
Japan Pancreas Society
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