TY - JOUR
T1 - Treatment results of two-stage operation for the patients with esophageal cancer concomitant with liver dysfunction
AU - Yasuda, Mitsuhiro
AU - Saeki, Hiroshi
AU - Nakashima, Yuichiro
AU - Yukaya, Takafumi
AU - Tsutsumi, Satoshi
AU - Tajiri, Hirotada
AU - Zaitsu, Yoko
AU - Tsuda, Yasuo
AU - Kasagi, Yuta
AU - Andou, Kouji
AU - Imamura, Yu
AU - Ohgaki, Kippei
AU - Akahoshi, Tomohiko
AU - Oki, Eiji
AU - Maehara, Yoshihiko
N1 - Publisher Copyright:
© 2015, University of Tokushima. All rights reserved.
PY - 2015/9/18
Y1 - 2015/9/18
N2 - 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.
AB - 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.
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U2 - 10.2152/jmi.62.149
DO - 10.2152/jmi.62.149
M3 - Article
C2 - 26399339
AN - SCOPUS:84942047843
SN - 1343-1420
VL - 62
SP - 149
EP - 153
JO - Journal of Medical Investigation
JF - Journal of Medical Investigation
IS - 3
ER -
