Postoperative subphrenic abscess following gastrectomy for gastric cancer.
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概要
- 論文の詳細を見る
From 1985 to 1989, a total of 598 gastric cancer patients underwent gastrectomies in the First Department of Surgery at Kurume University School of Medicine. Of these, 24 patients (4.0%) incurred a subphrenic abscess, postoperatively. Subphrenic abscesses occurred most frequently after total gastrectomies at a rate of 17 of 197 (8.8%) cases. Leaking gastrointestinal anastomoses were responsible for 12 of the 17 (70.5%) abscesses. In 384 cases of distal gastrectomy, only 6 (1.69) cases with a subphrenic abscess occurred, and only 3 were due to anastomotic leakage. Among the total of 24 cases with subphrenic abscesses, 16 (67%) were related to an anastomotic leakage including a pancreatic fistula, while the other 8 (33%) showed no leakage by contrast roentgenography. When chest roentgenography shows a pleural effusion and an elevation of the diaphragm, then a subphrenic abscess must be suspected. The majority of patients were treated by replacing the intraabdominal drainage catheter inserted during the gastrectomy with a larger catheter. The overall operative mortality rate was 4.1%, due to a death in only one (MOF) patient.
- 久留米大学医学部 The Kurume Medical Journal 編集部の論文
著者
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Koufuji Kikuo
Departments Of Surgery Kurume University School Of Medicine
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Hashimoto Ken
Department Of Cardiology National Hospital Organization Okayama Medical Center
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TAKEDA JINRYO
Department of Surgery, Kurume University School of Medicine
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KAKEGAWA TERUO
Department o f Surgery, Kurume University School of Medicine
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TANAKA TAKAHO
Department o f Surgery, Kurume University School of Medicine
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UMEZU TOURU
Department of Surgery, Kurume University School of Medicine
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KOUFUJI KIKUO
Department o f Surgery, Kurume University School of Medicine
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HASHIMOTO KEN
Department o f Surgery, Kurume University School of Medicine
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TAKEDA JINRYO
Department o f Surgery, Kurume University School of Medicine
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