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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

Abstract

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.

Keywords

Esophageal Cancer Brain Natriuretic Peptide Atrial Natriuretic Peptide Bloc Resection Thoracic Duct 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

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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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