Video-Assisted Thoracoscopic Surgery for Lung Cancer in Patients on Hemodialysis
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概要
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Purpose: Surgical treatment of lung cancer in patients receiving hemodialysis carries a high risk because of poor cardiac function and a fragile electrolyte balance. Because the number of patients receiving hemodialysis has increased, the proportion of such patients with lung cancer is expected to rise. However, few studies have examined the results of surgery for lung cancer in hemodialysis patients, especially by video-assisted thoracoscopic surgery (VATS).Methods: We conducted a retrospective analysis of 5 hemodialysis patients who underwent VATS for lung cancer.Results: All patients were men, and the mean age was 70.4 years. The operative procedure was lobectomy in 4 patients and segmentectomy in 1. During the perioperative period, none required urgent hemodialysis. There were no critical complications and in-hospital deaths. Three of the 5 patients are currently alive and recurrence-free. One patient died of recurrence at 4 month after surgery, and the other patient died at17 months after surgery without cancer recurrence.Conclusions: VATS appears to be a safe procedure for hemodialysis patients with lung cancer, and the long-term outcome is satisfactory.
著者
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Miyamoto Yoshihiro
Department of Arthelosclerosis and Diabetes Melitus, National Cardiovacular Center Research Institut
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Imanishi Naoko
Department Of Thoracic Surgery National Hospital Organization Himeji Medical Center
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Nagai Shinjiro
Department Of Thoracic Surgery Graduate School Of Medicine Kyoto University
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Ueda Mitsuhiro
Department Of Agricultural Chemistry College Of Agriculture University Of Osaka Prefecture
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Matsuoka Katsunari
Department Of Thoracic Surgery Nho Himeji Medical Center
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Imanishi Naoko
Department of Thoracic Surgery, National Hospital Organization Himeji Medical Center, Himeji, Hyogo, Japan
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Ueda Mitsuhiro
Department of Thoracic Surgery, National Hospital Organization Himeji Medical Center, Himeji, Hyogo, Japan
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Kuroda Ayumi
Department of Thoracic Surgery, National Hospital Organization Himeji Medical Center, Himeji, Hyogo, Japan
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Kang Angyoung
Department of Thoracic Surgery, National Hospital Organization Himeji Medical Center, Himeji, Hyogo, Japan
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Nagai Shinjiro
Department of Thoracic Surgery, National Hospital Organization Himeji Medical Center, Himeji, Hyogo, Japan
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