Role of Off-Pump Coronary Artery Bypass Grafting in Patients With Malignant Neoplastic Disease
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概要
- 論文の詳細を見る
Although the long-term benefits of conventional coronary artery bypass grafting (CABG) are obvious, postoperative morbidity and mortality and the length of recovery associated with cardiopulmonary bypass are the main concerns of cardiac surgeons and cardiologists. The aim of this study was to demonstrate the effectiveness and advantage of the off-pump CABG for patients with concomitant malignant disorders requiring myocardial revascularization. From March 1997 to February 1999, 51 patients underwent off-pump CABG. Of these, there were 9 patients who had concomitant malignant disease requiring noncardiac surgery: gastric cancer (4), urinary bladder cancer (2), cholangioma (1), lung cancer (1) and colon cancer (1). Off-pump CABG was performed through a sternotomy, left thoracotomy or subxiphoid incision. Five patients received single grafting and 4 received double. The mean operative time for the off-pump CABG was 167 min. The total amount of bleeding during the off-pump CABG was 450-890 ml. Simultaneous noncardiac operations were carried out in 5 patients. The other 4 patients underwent subsequent operations for the malignancy uneventfully. In contrast, of the 4 patients with concomitant malignant disorders who underwent standard CABG during the period before the use of off-pump CABG, 2 died without undergoing the subsequent noncardiac operation. Off-pump CABG is quite efficient and is of great advantage in patients with malignancy who require myocardial revascularization in addition to noncardiac surgery for the cancer.
- 社団法人日本循環器学会の論文
- 1999-12-20
著者
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OCHI MASAMI
Department of Surgery, Cardiovascular Surgery, Nippon Medical School
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Tanaka Shigeo
Department Of Disease Control And Homeostasis Kanazawa University
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YAMADA Kenichi
Department of Internal Medicine, Sakura National Hospital
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Tanaka Shigeo
日本医科大学 病理
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Ochi M
Division Of Cardiovascular Surgery Nippon Medical School
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Ochi Masami
Department Of 2nd Surgery Nippon Medical School
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Ochi Masami
Department Of Thoracic And Cardiovascular Surgery Chiba Hokusoh Hospital Nippon Medical School
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Tanaka Shigeo
Division Of Thoracic Surgery Department Of Surgery Nippon Medical School
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Tanaka Shigeo
Division Of Cardiovascular Surgery Department Of Surgery Ii Nippon Medical School
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Fujii Masahiro
Department Of Cardiology Nippon Medical School
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Fukushima Masato
Nihon Medical University
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Tanaka Shigeo
Department Of Anatomy Nihon University School Of Dentistry At Matsudo
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Yamada Kenichi
Division Of Cardiovascular Surgery Department Of Surgery Nippon Medical School
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TANAKA SHICEO
2nd Surg. Dept. Nihon Med. School
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Ohkubo Naoko
Department Of Surgery Ii Cardiovascular Surgery Nippon Medical School
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OGASAWARA Hidetsugu
Department of Thoracic Surgery, Nippon Medical School Chiba Hokusoh Hospital
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OGASAWARA Hidetsugu
II Department of Surgery, Cardiovascular Surgery, Nippon Medical School
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Tanaka Shigeo
The Department Of Surgery Ii Division Of Cardiovascular Surgery Nippon Medical School
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Okuni Masahiko
Division Of Cardiovascular Surgery Nippon Medical School
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Tanaka Shigeo
Division Of Diagnostic Pathology Nippon Medical School Hospital
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Ochi Masami
日本医科大学 2外
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Ogasawara Hidetsugu
Ii Department Of Surgery Cardiovascular Surgery Nippon Medical School
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Ogasawara Hidetsugu
Department Of Thoracic And Cardiovascular Surgery Chiba-hokusoh Hospital Nippon Medical School
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Fukushima Masato
Department Of Internal Medicine Nippon Medical School
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Takeshima Shigeto
Department Of Surgery Ii National Defense Medical College
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Tamai Seiichi
Division Of Diagnostic Pathology Nippon Medical School Hospital
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