TREATMENT OF OPERATED PATIENTS WITH ESOPHAGEAL OR GASTRIC CANCER ASSOCIATING WITH CARDIAC DISEASE

概要

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In the non-cardiac surgery of patients with cardiac lesions careful monitoring and treatment of cardiac function in a perioperative period is the single most important factor, affecting the surgical outcomes. In this study the preoperative cardiac function, treatment and postoperative complications were studied in 24 patients with upper gastrointestinal cancer associating with either ischemic heart disease or valvular disease, to evaluate the surgical indication and to attempt the prediction of post operative complications. In patients with ischemic heart disease, there was no positive correlation between such preoperative finding as chest pain at rest, ECG abnormality at load, or ejection fraction, and the occurrence of postoperative complications. In patients with valvular disease, NYHA classification and ejection fraction were not correlated with the complications. Although it was not possible to predict the occurrence of postoperative complications in this study, perioperative careful evaluation and therapy of cardiac function would enable surgery for cure even in those cancer patients with cardiac lesions.
日本臨床外科学会の論文