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Influence of Operative Injury on the Systemic Inflammatory Response Syndrome in Esophageal Cancer Surgery
http://hdl.handle.net/10191/33111
http://hdl.handle.net/10191/331113d457611-db40-4602-b8eb-d209fc026eaf
| 名前 / ファイル | ライセンス | アクション |
|---|---|---|
45(1)_1-5.pdf (680.1 kB)
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| Item type | 紀要論文 / Departmental Bulletin Paper(1) | |||||
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| 公開日 | 2015-08-25 | |||||
| タイトル | ||||||
| タイトル | Influence of Operative Injury on the Systemic Inflammatory Response Syndrome in Esophageal Cancer Surgery | |||||
| タイトル | ||||||
| タイトル | Influence of Operative Injury on the Systemic Inflammatory Response Syndrome in Esophageal Cancer Surgery | |||||
| 言語 | en | |||||
| 言語 | ||||||
| 言語 | eng | |||||
| キーワード | ||||||
| 主題Scheme | Other | |||||
| 主題 | systemic inflammatory response syndrome (SIRS) | |||||
| キーワード | ||||||
| 主題Scheme | Other | |||||
| 主題 | magnitude of operative injury | |||||
| キーワード | ||||||
| 主題Scheme | Other | |||||
| 主題 | esophageal cancer | |||||
| キーワード | ||||||
| 主題Scheme | Other | |||||
| 主題 | transhiatal esophagectomy | |||||
| キーワード | ||||||
| 主題Scheme | Other | |||||
| 主題 | transthoracic esophagectomy | |||||
| キーワード | ||||||
| 主題Scheme | Other | |||||
| 主題 | mechanical ventilator support | |||||
| 資源タイプ | ||||||
| 資源タイプ識別子 | http://purl.org/coar/resource_type/c_6501 | |||||
| 資源タイプ | departmental bulletin paper | |||||
| 著者 |
Sato, Nobuaki
× Sato, Nobuaki× Ohkawa, Akira× Oyamatsu, Manabu× Koyama, Yu× Kayama, Seiji× Hayashi, Mitsuhiro× Sato, Tomoi× Hatakeyama, Katsuyoshi |
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| 抄録 | ||||||
| 内容記述タイプ | Abstract | |||||
| 内容記述 | Background: The systemic inflammatory response syndrome (SIRS) occurs after a wide variety of insults. Recent studies have revealed that the number of SIRS criteria exhibited by a patient may have clinical importance. For this reason, we sought to determine whether the magnitude of a surgical insult is associated with the number of SIRS criteria satisfied. Study design: We retrospectively investigated relationships between the number of SIRS criteria and the type of surgical procedure, either transthoracic (n = 79) or transhiatal esophagectomy (n =42), in 121 consecutive male patients younger than 75 years of age with carcinoma of the esophagus. Results: Operative injury was more extensive in the transthoracic group than in the transhiatal group in terms of the mean operative time (392 ± 65 versus 215 ± 70 min, p<0.0001) and estimated intraoperative blood loss (693±309 versus 436±316 mL, p<0.0001). Prevalence of SIRS did not differ between the two groups. Pyrexia was more frequent in the transthoracic group than in the transhiatal group (p =0.004). Conversely, tachypnea was commoner in the transhiatal than in the transthoracic group (p=0.0039). The mean number of SIRS criteria exhibited was the same, 2.1 ±0.9 in the transhiatal group and 2.3±0.7 in the transthoracic group. Conclusion: There was no difference in the mean number of SIRS criteria exhibited following either transthoracic or transhiatal esophagectomy for carcinoma of the esophagus, even though the magnitude of the operative injury was greater in patients undergoing transthoracic esophagectomy in terms of operative time and estimated blood loss. Our results show more a frequent occurrence of fever in the transthoracic group and a higher rate of tachypnea in the transhiatal group, a pattern possibly reflecting mechanical ventilation of the transthoracic patients. | |||||
| 書誌情報 |
Acta medica et biologica en : Acta medica et biologica 巻 45, 号 1, p. 1-5, 発行日 1997-03 |
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| 出版者 | ||||||
| 出版者 | Niigata University School of Medicine | |||||
| ISSN | ||||||
| 収録物識別子タイプ | ISSN | |||||
| 収録物識別子 | 05677734 | |||||
| 書誌レコードID | ||||||
| 収録物識別子タイプ | NCID | |||||
| 収録物識別子 | AA00508361 | |||||
| 著者版フラグ | ||||||
| 値 | publisher | |||||
