Multivariate analysis of postoperative complications after esophageal resection

作者: Shinichi Tsutsui , Sunao Moriguchi , Masaru Morita , Hiroyuki Kuwano , Hiroyuki Matsuda

DOI: 10.1016/0003-4975(92)90388-K

关键词: EsophagectomySurgeryPostoperative atelectasisResectionMedicineMultivariate analysisAnesthesiaEsophagusLiver dysfunctionThoracic esophageal cancerComplicationPulmonary and Respiratory MedicineCardiology and Cardiovascular Medicine

摘要: To determine the contributing factors for eight postoperative complications after esophagectomy through a right thoracoabdominal approach, multivariate analysis was carried out on preoperative and intraoperative variables in 141 patients with thoracic esophageal cancer. Although occurred 125 patients, only 7 died of such complications. The indicated that retrosternal route significant factor predisposing to atelectasis. Age, arterial oxygen tension, volume transfused were hypoxemia, whereas age, routes other than intrathoracic route, prolonged respiratory support. In addition, total serum bilirubin level hyperbilirubinemia; creatinine renal insufficiency; sex, antesternal substituted colon anastomotic leakage. There no pneumonia liver dysfunction. These should be taken into consideration not during perioperative management but also when choosing operative procedures extending surgical indication approach.

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