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

• Yasuda Mitsuhiro

  Emergency and Critical Care Center, Kyushu University Hospital

• 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

• 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

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^st and 2^nd stage operation was 410.0 min and 438.9 min, respectively. The average amount of blood loss in the 1^st and 2^nd 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^st stage operation, no postoperative complications were observed, while, complications developed in 5 (62.5%) patients, including 4 anastomotic leakages, after the 2^nd 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

  The University of Tokushima Faculty of Medicine

Keywords

• esophageal cancer
• liver cirrhosis
• surgical stress
• two-stage operation
• complication

Details

• CRID: 1390001204244212480
• NII Article ID: 130005099160
• NII Book ID: AA11166929
• DOI: 10.2152/jmi.62.149
• ISSN: 13496867
• ISSN: 13431420
• PubMed: 26399339
• Web Site: http://repo.lib.tokushima-u.ac.jp/111270
• Web Site: https://www.jstage.jst.go.jp/article/jmi/62/3.4/62_149/_pdf
• Web Site: https://search.jamas.or.jp/link/ui/2016247004
• Text Lang: en
• Data Source:
  • JaLC
  • IRDB
  • Crossref
  • PubMed
  • CiNii Articles
  • KAKEN
• Abstract License Flag: Disallowed