Cancer of the tongue in a patient undergoing hemodialysis.

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More and more people depend on life-long hemodialysis as machines and techniques become more sophisticated. Many sufferers of chronic renal failure can now expect to live long and fairly normal lives. Therefore, the number of people undergoing hemodialysis who need surgery for other diseases is on the increase.Both general surgeons and head & neck surgeons have been removing various malignant tumors from persons undergoing hemodialysis.We recently treated a 36-year-old woman for cancer of the tongue, who has been undergoing hemodialysis three times a week for the past seven years. We performed a partial resection of the tongue using a CO2 laser while the patient was under general anesthesia. We followed her carefully, and a year later suspected a metastatic lesion in the left side of her neck. She was hospitalized and underwent left radical neck dissection while under general anesthesia. When she had the first operation of partial resection of her tongue and the second operation of radical neck dissection, she underwent daily hemodialysis before surgery and on the third day after surgery hemodialysis with Gabexate mesilate (FOY) without heparin.With this regimen, we could perform both operations under general anesthesia without any major trouble, such as hyperkalemia or bleeding.We noted that patients undergoing hemodialysis have many complications during surgery, : acidosis, tendency to bleed, low resistance to infection and hyperkalemia.
耳鼻咽喉科臨床学会の論文

Cancer of the tongue in a patient undergoing hemodialysis.

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