The Influence of Thoracic Duct Resection on Postesophagectomy Hemodynamics: An Analysis of Changes of Atrial Natriuretic Peptide and Brain Natriuretic Peptide

  • Yutaka Shimada
  • Masayuki Imamura
  • Takayoshi Tobe
  • Gotaro Shirakami
  • Kazuwa Nakao
Conference paper


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 [1], 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.


Esophageal Cancer Brain Natriuretic Peptide Atrial Natriuretic Peptide Bloc Resection Thoracic Duct 
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Copyright information

© Springer-Verlag Tokyo 1993

Authors and Affiliations

  • Yutaka Shimada
  • Masayuki Imamura
  • Takayoshi Tobe
    • 1
  • Gotaro Shirakami
    • 2
  • Kazuwa Nakao
    • 3
  1. 1.First Department of Surgery, Faculty of MedicineKyoto, UniversityShogoin Sakyo-ku, Kyoto, 606Japan
  2. 2.Intensive Care Unit, Faculty of MedicineKyoto, UniversityShogoin Sakyo-ku, Kyoto, 606Japan
  3. 3.Second Department of Internal Medicine, Faculty of MedicineKyoto, UniversityShogoin Sakyo-ku, Kyoto, 606Japan

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