The Influence of Thoracic Duct Resection on Postesophagectomy Hemodynamics: An Analysis of Changes of Atrial Natriuretic Peptide and Brain Natriuretic Peptide
An en bloc resection of esophageal cancer is one of the most radical forms of esophagectomy, and includes the resection of the thoracic duct. In a previous publication , we examined the hemodynamic changes in 24 patients whose intrathoracic ducts were resected during esophagectomy for esophageal cancer and 3 developed severe tachycardia or postoperative shock, recovering after a massive infusion of plasma. Fluid balance analysis revealed that during surgery and for 48 h after, much more fluid was necessary for en bloc resection patients.
KeywordsEsophageal Cancer Brain Natriuretic Peptide Atrial Natriuretic Peptide Bloc Resection Thoracic Duct
Unable to display preview. Download preview PDF.
- 5.Imamura M, Ohishi K, Tobe T (1987) Retrosternal esophagogastrostomy with the EE A stapler. Surg Gynecol Obst 161: 364–366Google Scholar
- 7.Kojima Y (1988) Evaluation of the water-electrolyte metabolism in the patients with upper GI tract cancer—the dynamic status of secretion of a hANP levels (in Japanese with English abstract). Nippon Geka Gakkai Zasshi (J Jpn Surg Soc) 89: 1603–1610Google Scholar
- 8.Kojima Y, Hiramatsu Y, Kitade H, Ogura T, Nakagawa A, Sanada T, Yamanaka H, Kawaguchi Y, Hioki K and Yamamoto M (1990) The correlation between plasma atrial natriuretic polypeptide levels ( ANP) and cardiopulmonary function during the perioperative period of esophageal cancer (in Japanese with English abstract ). Nihon Kyoubu Geka Gakkai Zasshi 38: 1416–1423Google Scholar
- 9.Soeda K, Onoda S, Tabata Y, Hayashi H, Odaka M, Isono K (1988) Correlation of catecholamines with human atrial natriuretic polypeptides before and after surgery (in Japanese with English abstract). Igaku no Ayumi 145: 133–134Google Scholar
- 10.Mitaka C, Nagura T, Sakanishi N, Tsunoda Y, Amaha K (1988) Changes in atrial natriuretic peptide after esophagectomy (in Japanese with English abstract). ICU to CCU. 12: 999–1003Google Scholar