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  1. C100 医学部/医学系研究科
  2. C100b 紀要
  3. Nagoya journal of medical science
  4. 46(1-4)

Major Surgery in Patients Undergoing Hemodialysis

https://doi.org/10.18999/nagjms.46.1-4.109
https://doi.org/10.18999/nagjms.46.1-4.109
d738aad4-e610-4867-890d-10b6224f9922
名前 / ファイル ライセンス アクション
v46n14p109_116.pdf v46n14p109_116.pdf (627.1 kB)
Item type 紀要論文 / Departmental Bulletin Paper(1)
公開日 2013-02-08
タイトル
タイトル Major Surgery in Patients Undergoing Hemodialysis
著者 TAKAGI, HIROSHI

× TAKAGI, HIROSHI

WEKO 98703

TAKAGI, HIROSHI

Search repository
UCHIDA, KAZUHARU

× UCHIDA, KAZUHARU

WEKO 98704

UCHIDA, KAZUHARU

Search repository
YAMADA, NOBUO

× YAMADA, NOBUO

WEKO 98705

YAMADA, NOBUO

Search repository
MORIMOTO, TAKESHI

× MORIMOTO, TAKESHI

WEKO 98706

MORIMOTO, TAKESHI

Search repository
YASUE, MITSUNORI

× YASUE, MITSUNORI

WEKO 98707

YASUE, MITSUNORI

Search repository
TOMINAGA, YOSHIHIRO

× TOMINAGA, YOSHIHIRO

WEKO 98708

TOMINAGA, YOSHIHIRO

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KAWAI, MACHIO

× KAWAI, MACHIO

WEKO 98709

KAWAI, MACHIO

Search repository
KANO, TADAYUKI

× KANO, TADAYUKI

WEKO 98710

KANO, TADAYUKI

Search repository
KAWAHARA, KATSUHlKO

× KAWAHARA, KATSUHlKO

WEKO 98711

KAWAHARA, KATSUHlKO

Search repository
キーワード
主題Scheme Other
主題 Chronic renal failure
キーワード
主題Scheme Other
主題 Hemodialysis
キーワード
主題Scheme Other
主題 Kidney transplantation
キーワード
主題Scheme Other
主題 Cancer
キーワード
主題Scheme Other
主題 Secondary hyperparathyroidism
抄録
内容記述 This report describes our experience with major surgery in hemodialysis patients and discusses special considerations in their surgical management. A total of 359 operations under general anesthesia excluding blood access operations were performed in hemodialysis patients (kidney transplantation, 168; bilateral nephrectomy with or without splenectomy, 38; graftectomy, 40; parathyroidectomy, 43; mastectomy, 2; gastrectomy, 24; biliary tract surgery, 9; surgery of intestinal obstruction, 2; appendectomy, 8; surgery of colon & rectum, 10; haemorrhoidectomy, 5; etc.). There were six postoperative deaths within 30 days (cadaveric kidney transplant, 1; graftectomy, 3; pancreaticoduodenectomy, 1; subtotal gastrectomy, 1). Recently, cadaveric kidney transplants are increasing and HLA-DR matching in cadaveric transplant has gained acceptance. The introduction of Cyclosporin A has remarkably improved the graft survival rate so far. Splenectomy has resulted in a significant improvement in the hematologic status of all patients. Bilaterally excised kidneys for a pretransplant procedure or because of severe hypertension decrease in weight progressively after the start of hemodialysis. Since the pathogenesis of renal osteodystrophy is highly complex, image diagnosis of parathyroid glands is valuable for (1) definite diagnosis of secondary hyperparathyroidism, (2) localization, and (3) diagnosis for effectiveness of conservative treatment. Fourteen of 18 patients with cancer (thyroid, 1; breast, 2; stomach, 4; bile duct, 1; head of pancreas, 1; colon & rectum, 8; kidney, 1) underwent curative surgery. Although hemodialysis patients remain chronically ill despite optimal hemodialysis, they tolerate major emergency or elective surgery rather well if the necessary precautions are taken.
内容記述タイプ Abstract
出版者
出版者 Nagoya University School of Medicine
言語
言語 eng
資源タイプ
資源 http://purl.org/coar/resource_type/c_6501
タイプ departmental bulletin paper
ID登録
ID登録 10.18999/nagjms.46.1-4.109
ID登録タイプ JaLC
関連情報
関連タイプ isVersionOf
識別子タイプ URI
関連識別子 http://www.med.nagoya-u.ac.jp/medlib/nagoya_j_med_sci/4614/4614.html
ISSN(print)
収録物識別子タイプ ISSN
収録物識別子 0027-7622
ISSN(Online)
収録物識別子タイプ ISSN
収録物識別子 2186-3326
書誌情報 Nagoya Journal of Medical Science

巻 46, 号 1-4, p. 109-116, 発行日 1984-03
著者版フラグ
値 publisher
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