SIMULTANEOUS OPERATION FOR MALIGNANT NEOPLASMS AND CARDIOVASCULAR DISEASES

Autor: Akihiro Yamaoka, Shinji Shimokawa, Akira Taira, Yukinori Moriyama, Hitoshi Toyohira, Kohki Tanaka, Nobuo Hamada, Shun-ichi Watanabe, Sumihiro Kawashima, Hiroshi Masuda, Hiroshi Iwamura
Rok vydání: 1998
Předmět:
Zdroj: Nihon Rinsho Geka Gakkai Zasshi (Journal of Japan Surgical Association). 59:26-30
ISSN: 1882-5133
1345-2843
Popis: Simultaneous surgery was performed in 8 patients with malignant neoplasms complicated by cardiovascular diseases. The malignant neoplasms were lung cancer in 3 patients, colon cancer in 2, stomach cancer in 2, and liver cancer in 1. The complicating cardiovascular diseases were ischemic heart disease in 3, valvular heart disease in 2, abdominal aortic aneurysm in 2, and thoracic aortic aneurysm in 1. In the simultaneous operation, the first objective was improvement and maintenance of hemodynamics, and the radicality of the treatment for malignant neoplasms was pursued secondarily. However, operations for malignant neoplasms were performed first depending on the stage of the disease and the state of the surgical field. The approaches were obtained separately for prevention of infections except when both operations could be performed in the same operative field, and efforts were made to minimize the surgical insult especially in patients managed with an artificial heart-lung support. The surgical insult of simultaneous operation is considered to have been tolerable with the absence of prolonged operations, massive hemorrhage, or postoperative complications. All patients have been adequately rehabilitated, and all have been observed for a maximum of 54 months (mean 24 months) without signs of recurrence. From these results, simultaneous operation for malignant neoplasms and cardiovascular diseases is considered to be preferable if the neoplasms can be treated radically, and the patient is expected to tolerate the surgical insult.
Databáze: OpenAIRE
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