Treatment results of two-stage operation for the patients with esophageal cancer concomitant with liver dysfunction

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Author(s)

    • Ando Koji
    • Department of Surgery and Science, Graduate School of Medical Sciences, Kyushu University
    • Imamura Yu
    • Department of Surgery and Science, Graduate School of Medical Sciences, Kyushu University
    • Ohgaki Kippei
    • Department of Surgery and Science, Graduate School of Medical Sciences, Kyushu University
    • Akahoshi Tomohiko
    • Emergency and Critical Care Center, Kyushu University Hospital|Department of Surgery and Science, Graduate School of Medical Sciences, Kyushu University|Department of Disaster and Emergency of Medicine, Kyushu University
    • Oki Eiji
    • Department of Surgery and Science, Graduate School of Medical Sciences, Kyushu University
    • Maehara Yoshihiko
    • Emergency and Critical Care Center, Kyushu University Hospital|Department of Surgery and Science, Graduate School of Medical Sciences, Kyushu University
    • Saeki Hiroshi
    • Department of Surgery and Science, Graduate School of Medical Sciences, Kyushu University
    • Nakashima Yuichiro
    • Department of Surgery and Science, Graduate School of Medical Sciences, Kyushu University
    • Yukaya Takafumi
    • Emergency and Critical Care Center, Kyushu University Hospital|Department of Surgery and Science, Graduate School of Medical Sciences, Kyushu University
    • Tsutsumi Satoshi
    • Department of Surgery and Science, Graduate School of Medical Sciences, Kyushu University
    • Tajiri Hirotada
    • Department of Surgery and Science, Graduate School of Medical Sciences, Kyushu University
    • Zaitsu Yoko
    • Department of Surgery and Science, Graduate School of Medical Sciences, Kyushu University
    • Tsuda Yasuo
    • Department of Surgery and Science, Graduate School of Medical Sciences, Kyushu University
    • Kasagi Yuta
    • Department of Surgery and Science, Graduate School of Medical Sciences, Kyushu University

Abstract

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 1<sup>st </sup>and 2<sup>nd </sup>stage operation was 410.0 min and 438.9 min, respectively. The average amount of blood loss in the 1<sup>st </sup>and 2<sup>nd </sup>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 1<sup>st </sup>stage operation, no postoperative complications were observed, while, complications developed in 5 (62.5%) patients, including 4 anastomotic leakages, after the 2<sup>nd </sup>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. J. Med. Invest. 62: 149-153, August, 2015

Journal

  • The Journal of Medical Investigation

    The Journal of Medical Investigation 62(3.4), 149-153, 2015

    Faculty of Medicine Tokushima University

Codes

  • NII Article ID (NAID)
    130005099160
  • NII NACSIS-CAT ID (NCID)
    AA11166929
  • Text Lang
    ENG
  • Article Type
    journal article
  • ISSN
    1343-1420
  • Data Source
    IR  J-STAGE 
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