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An Evaluation of Surgical Problems for Carcinoma of Esophagus in view of Autopsy Findings


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Title: An Evaluation of Surgical Problems for Carcinoma of Esophagus in view of Autopsy Findings
Authors: Shibata, Koichiro / Tomita, Masao / Koga, Yasunori / Matsumoto, Kazuhisa / Onitsuka, Tosio / Sacoda, Koichiro / Maeda, Takami / Hamasuna, Shigehito / Wake, Norio / Ichinose, Yukito / Ayabe, Kimitosi / Uchida, Yuzo / Nakamura, Yuzuru / Tsuji, Yasukuni
Authors (alternative): 柴田, 紘一郎 / 富田, 正雄 / 古賀, 保範 / 松本, 和久 / 鬼塚, 敏男 / 迫田, 耕一朗 / 前田, 隆美 / 浜砂, 重仁 / 和気, 典雄 / 一瀬, 幸人 / 綾部, 公懿 / 内田, 雄三 / 中村, 譲 / 辻, 泰邦
Issue Date: 25-Oct-1979
Citation: Acta medica Nagasakiensia. 1979, 24(1-4), p.6-17
Abstract: By comparison of the findings in operation and those in autopsy, 9 cases of death within 30 days after esophagectomy and dissection of the lymph node for thoracic esophageal cancer were examined mainly on the influence of dissection of the lymph node. In autopsy, remained metastatic lymph node was observed in 4 of them (44,4%). Remained metastatic thoracic lymph node was to the tracheobronchial lymph node group. Metastatic abdominal lymph node was observed in many cases at the operation, but in autopsy remained cancer in this area was not observed. It is proved that remained metastatic lymph node in the abdomen at autopsy is in paraaortic lymph node in high rate. It was examined by the experiment with the dogs that frequency of pulmonary complication will be higher if extended radical mediastinal lymph node dissection is performed. In the experiment, decrease of lung surfactant, rise in pulmonary wedge pressure, trouble in perfusion of pulmonary lymph flow in the experiment by dye solution, and interstitial edema and alveolar edema in the lung in histological examination were observed. As described above, since direct operative death after esophagectomy is related to respiratory complications, treatments for this complications may be able to be improved, if the cause is made clear and pathological treatments are carried out. In order to improve surgical treatments for metastasis to the lymph node of esophageal cancer, these points should be given attention to.
URI: http://hdl.handle.net/10069/15610
ISSN: 00016055
Type: Departmental Bulletin Paper
Text Version: publisher
Appears in Collections:Volume 24, No. 1-4

Citable URI : http://hdl.handle.net/10069/15610

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