Document Detail


Multivariate analysis of postoperative complications after esophageal resection.
MedLine Citation:
PMID:  1596128     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
To determine the contributing factors for eight postoperative complications after esophagectomy through a right thoracoabdominal approach, a multivariate analysis was carried out on preoperative and intraoperative variables in 141 patients with thoracic esophageal cancer. Although postoperative complications occurred in 125 patients, only 7 died of such complications. The multivariate analysis indicated that the retrosternal route was a significant factor predisposing to postoperative atelectasis. Age, preoperative arterial oxygen tension, and volume transfused were significant factors predisposing to postoperative hypoxemia, whereas age, routes other than the intrathoracic route, and volume transfused were significant factors predisposing to prolonged respiratory support. In addition, preoperative total serum bilirubin level and volume transfused were significant factors predisposing to postoperative hyperbilirubinemia; preoperative serum creatinine level was a significant contributing factor for postoperative renal insufficiency; and sex, antesternal route, and substituted colon were significant contributing factors for anastomotic leakage. There were no significant factors predisposing to postoperative pneumonia and liver dysfunction. These significant factors should be taken into consideration not only during perioperative management but also when choosing the operative procedures and extending the surgical indication for esophagectomy through a right thoracoabdominal approach.
Authors:
S Tsutsui; S Moriguchi; M Morita; H Kuwano; H Matsuda; M Mori; H Matsuura; K Sugimachi
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  The Annals of thoracic surgery     Volume:  53     ISSN:  0003-4975     ISO Abbreviation:  Ann. Thorac. Surg.     Publication Date:  1992 Jun 
Date Detail:
Created Date:  1992-06-30     Completed Date:  1992-06-30     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  15030100R     Medline TA:  Ann Thorac Surg     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  1052-6     Citation Subset:  AIM; IM    
Affiliation:
Second Department of Surgery, Faculty of Medicine, Kyushu University, Fukuoka, Japan.
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MeSH Terms
Descriptor/Qualifier:
Age Factors
Aged
Esophageal Neoplasms / surgery
Esophagectomy*
Female
Humans
Kidney Diseases / etiology
Liver Diseases / etiology
Male
Middle Aged
Postoperative Complications*
Respiratory Tract Diseases / etiology
Risk Factors

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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