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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. 78(1)

Short-term outcomes after conventional transthoracic esophagectomy

https://doi.org/10.18999/nagjms.78.1.69
https://doi.org/10.18999/nagjms.78.1.69
9a507a7d-833b-4159-bc36-27f7847f42e6
名前 / ファイル ライセンス アクション
17_Niwa.pdf 17_Niwa.pdf (402.3 kB)
Item type 紀要論文 / Departmental Bulletin Paper(1)
公開日 2016-02-23
タイトル
タイトル Short-term outcomes after conventional transthoracic esophagectomy
著者 Niwa, Yukiko

× Niwa, Yukiko

WEKO 61914

Niwa, Yukiko

Search repository
Koike, Masahiko

× Koike, Masahiko

WEKO 61915

Koike, Masahiko

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Hattori, Masashi

× Hattori, Masashi

WEKO 61916

Hattori, Masashi

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Iwata, Naoki

× Iwata, Naoki

WEKO 61917

Iwata, Naoki

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Takami, Hideki

× Takami, Hideki

WEKO 61918

Takami, Hideki

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Hayashi, Masamichi

× Hayashi, Masamichi

WEKO 61919

Hayashi, Masamichi

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Kanda, Mitsuro

× Kanda, Mitsuro

WEKO 61920

Kanda, Mitsuro

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Kobayashi, Daisuke

× Kobayashi, Daisuke

WEKO 61921

Kobayashi, Daisuke

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Tanaka, Chie

× Tanaka, Chie

WEKO 61922

Tanaka, Chie

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Yamada, Suguru

× Yamada, Suguru

WEKO 61923

Yamada, Suguru

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Fujii, Tsutomu

× Fujii, Tsutomu

WEKO 61924

Fujii, Tsutomu

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Nakayama, Goro

× Nakayama, Goro

WEKO 61925

Nakayama, Goro

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Sugimoto, Hiroyuki

× Sugimoto, Hiroyuki

WEKO 61926

Sugimoto, Hiroyuki

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Nomoto, Shuji

× Nomoto, Shuji

WEKO 61927

Nomoto, Shuji

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Fujiwara, Michitaka

× Fujiwara, Michitaka

WEKO 61928

Fujiwara, Michitaka

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Kodera, Yasuhiro

× Kodera, Yasuhiro

WEKO 61929

Kodera, Yasuhiro

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キーワード
主題Scheme Other
主題 esophagectomy
キーワード
主題Scheme Other
主題 esophageal cancer
キーワード
主題Scheme Other
主題 transthoracic
キーワード
主題Scheme Other
主題 outcomes
キーワード
主題Scheme Other
主題 complications
抄録
内容記述 In our department, we have attempted to reduce the incidence of complications of conventional esophagectomy. The objective of this retrospective study was to report the short-term outcomes of esophagectomy. We reviewed 138 consecutive patients who had undergone subtotal esophagectomy by combined laparotomy via a 12-cm upper abdominal vertical incision combined with right anterior muscle-sparing thoracotomy from August 2010 to August 2014. Most of the cervical para-esophageal lymph node dissection was completed within the thoracic cavity. We performed three-field dissection in patients with tumors in the upper or middle third of the esophagus with clinical lymph node metastases in the superior mediastinum; the others underwent two-field dissection. We performed neck anastomoses in patients undergoing three-field dissection and thoracic anastomoses in those undergoing two-field dissection. Effective postoperative pain management was achieved with a combination of epidural anesthesia and paravertebral block. Postoperative rehabilitation was instituted for early ambulation and recovery. Enteral nutrition via a duodenal feeding tube was administered from postoperative day 2. Median hospital stay after surgery was 15 days (range, 10–129). Rates for both 30-day and in-hospital mortality were 0%. Morbidity rate for all Clavien–Dindo grades was 41.3%, whereas the morbidity rate for Clavien–Dindo grades III and IV was 7.2%. Anastomotic leakage developed in two patients (1.4%), recurrent laryngeal nerve palsy in 11 (8.0%), and pneumonia in nine (6.5%). Good short-term outcomes, especially regarding anastomotic leaks, were achieved by consistent improvements in surgical techniques, optimization of several operative procedures, and appropriate perioperative management.
内容記述タイプ Abstract
出版者
出版者 Nagoya University Graduate School of Medicine, 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.78.1.69
ID登録タイプ JaLC
ISSN(print)
収録物識別子タイプ ISSN
収録物識別子 0027-7622
書誌情報 Nagoya Journal of Medical Science

巻 78, 号 1, p. 69-78, 発行日 2016-02
著者版フラグ
値 publisher
URI
識別子 http://www.med.nagoya-u.ac.jp/medlib/nagoya_j_med_sci/781.html
識別子タイプ URI
URI
識別子 http://hdl.handle.net/2237/23535
識別子タイプ HDL
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