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Studies on reduction of operative mortality after radical operation for carcinoma of the thoracic esophagus

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Summary

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.

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Authors and Affiliations

  1. Second Department of Surgery, Tohoku University School of Medicine, Sendai, Japan

    Morio Kasai, Shichisaburo Abo & Toshio Watanabe

Authors
  1. Morio Kasai
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  2. Shichisaburo Abo
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  3. Toshio Watanabe
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Kasai, M., Abo, S. & Watanabe, T. Studies on reduction of operative mortality after radical operation for carcinoma of the thoracic esophagus. Japanese Journal of Surgery 1, 1–10 (1971). https://doi.org/10.1007/BF02468536

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  • DOI: https://doi.org/10.1007/BF02468536

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