Studies on reduction of operative mortality after radical operation for carcinoma of the thoracic esophagus
Tóm tắt
The purpose of this study was to reduce operative mortality after radical operation for carcinoma of the thoracic esophagus without decrease in resectability, keeping our policy to make reconstruction as early as possible after resection of the lesion. A study on postoperative respiratory function showed that prolonged hypoxemia and compensatory hyperventilation occurred in the majority of patients without manifestations of pulmonary complication. Prolonged application of oxygen tent, planned administration of intermittent positive pressure breathing and adequate correction of metabolic acidosis considerably decreased operative mortlaity. Retrospective study disclosed close correlations of operative mortality with location of the lesion and age, VC/m2, hypertension, ECG findings and renal function of patients. Marked decrease in operative mortality was obtained after the criteria of indication for one-stage radical operation was laid down by the retrospective study.
Tài liệu tham khảo
Akakura I.: Advance in surgical treatment for cancer of the esophagus (in Japanese), J. Japanese Assoc. Thoracic Surgery, 15: 87, 1967.
Huang Kuo-chün et al.: Surgical treatment of carcinoma of the esophagus and gastric cardia, Chinese Med. J., 82: 197, 1963.
Kasai, M. et al.: Reconstruction of the cervical esophagus with a pedicled jejunal graft, Surg. Gynec. & Obst. 121: 102, 1965.
Katsura S-T, et al.: Transplantation of the partially resected middle esophagus with a jejunal graft, Ann. Surg., 147: 146, 1958.
Lu Yun-k'an et al.: An analysis of mortality and post-operative complications of esophageal resection for carcinoma, Chinese Med. J., 83: 39, 1964.
Nakayama K. et al.: Progress in surgery for cancer of the esophagus (in Japanese), Rinsho to Kenkyu, 43: 1735, 1966.
Zenker R., et al.: Ergebnisse der Chirurgie Behandelung des Oesophagus Karzinoms, Thorax chirurgie, 14: 247, 1966.