Prevention and Management of Respiratory Failure after Surgery for Esophageal Cancer_West China Medical Journal

Authors：

 RENShou-yang , CHENZu-yao , HUANGJian , DENGJian-hua , LIXue-fei

Department of Thoracic Surgery, Dujiangyan Medical Center, Dujiangyan, Sichuan 611830, P. R. China;

Corresponding?author：

Keywords：

Esophageal cancer; Respiratory failure; Complication

DOI：

10.7507/1002-0179.20140444

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Objective To analyze the main causes and management of respiratory failure after surgery for esophageal cancer. Methods We retrospectively collected and analyzed the clinical data of 27 patients with respiratory failure after surgery for esophageal cancer in our hospital between January 2005 and December 2012. Results Of the 27 patients with respiratory failure after surgery for esophageal cancer, 23 were at advanced age, and 15 had moderately to severely impaired pulmonary function before surgery. After surgery, 19 suffered severe pulmonary infection, 8 yielded complications such as anastomotic leak, gastropleural fistula chylothorax, and postoperative bleeding. Conclusion Pulmonary infections and surgical complications are the major and direct causes of respiratory failure after surgery for esophageal cancer. For high-risk patients at advanced age with impaired pulmonary function, enhancing perioperative airway management and improving surgical operation can decrease incidence of respiratory failure effectively.

Citation： RENShou-yang, CHENZu-yao, HUANGJian, DENGJian-hua, LIXue-fei. Prevention and Management of Respiratory Failure after Surgery for Esophageal Cancer. West China Medical Journal, 2014, 29(8): 1443-1445. doi: 10.7507/1002-0179.20140444 Copy

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7.	毛友生, 張德超, 赫捷, 等. 食管癌和賁門癌患者術后呼吸衰竭原因分析及防治[J]. 中華腫瘤雜志, 2005, 27(12):753-756.
8.	王學中, 韓江紅, 劉志廣. 食管癌術后呼吸衰竭的相關危險因素分析及預防措施[J]. 中國腫瘤臨床, 2012, 39(8):458-460.
9.	金成, 張利軍. 高齡低肺功能食管癌患者手術前后肺功能保護[J]. 中國微創外科雜志, 2009, 9(5):435-436.
10.	黎亮, 王德偉, 潘和. 食管賁門癌術后急性呼吸衰竭的危險因素分析[J]. 海南醫學, 2011, 22(4):16-20.
11.	馬雙慰, 李向東, 何明, 等. 35例食管癌患者術后呼吸功能不全的臨床高危因素分析[J].重慶醫學, 2010, 39(4):440-441.
12.	張駿, 吳佩卿, 張撿, 等. 老年食管癌術后呼吸衰竭的防治體會[J]. 中國腫瘤臨床與康復, 2002, 9(11):111-112.
13.	楊光煜, 李俊秀, 王平凡, 等. 老年人胸內胃吻合口瘺與早期急性呼吸衰竭[J]. 中華胸心血管外科雜志, 2000, 16(10):107-108.
14.	Kariv Y, Delaney CP, Senagore AJ, et al. Clinical outcomes and cost analysis of a "fast track" postoperative care pathway for ileal pouch-anal anastomosis a case control study[J]. Dis Conlon Rectum, 2007, 50(2):137-141.
15.	任光國, 周允. 胸外科手術并發癥的預防與治療[M]. 北京:人民衛生出版社, 2004:100-119.
16.	王毅, 向小勇. 食管癌術后并發癥臨床分析[J]. 中國現代藥物應用, 2013, 7(4):16-17.
17.	王天佑. 快速康復外科理念與胸外科[J]. 中國胸心血管外科臨床雜志, 2014, 21(1):3-4.
18.	劉勝中, 曾富春, 薛洋, 等. 136例高齡食管癌、賁門癌患者的外科手術治療體會[J]. 四川醫學, 2011, 32(12):1864-1866.

1. 劉劍, 周福有, 耿明飛. 快速康復外科理念下食管癌術后場內營養途徑的選擇[J]. 河南外科學雜志, 2013, 19(3):8-10.
2. Jiao WJ, Wang TY, Gong M, et al. Pulmonary complications in patients with chronic obstructive pulmonary disease following transthoracic esophagectomy[J]. World J Gastroenterol, 2006, 12(16):2505-2509.
3. 王勇, 馬海濤. 食管癌術后急性呼吸衰竭的病因探討及防治[J]. 航空航天醫藥, 2008, 19(3):173-174.
4. 王允, 趙雍凡, 李建軍, 等. 食管癌術后呼吸衰竭的高危因素分析[J]. 中國胸心血管外科臨床雜志, 2000, 7(2):92-94.
5. 胡曉儉, 歐陽恒. 56例70歲以上高齡低肺功能食管癌患者圍手術期處理[J]. 成都醫學院學報, 2011, 6(4):352-353.
6. 潘鐵成, 殷桂林. 胸心外科急癥和并發癥[M]. 北京:人民衛生出版社, 2006:62.
7. 毛友生, 張德超, 赫捷, 等. 食管癌和賁門癌患者術后呼吸衰竭原因分析及防治[J]. 中華腫瘤雜志, 2005, 27(12):753-756.
8. 王學中, 韓江紅, 劉志廣. 食管癌術后呼吸衰竭的相關危險因素分析及預防措施[J]. 中國腫瘤臨床, 2012, 39(8):458-460.
9. 金成, 張利軍. 高齡低肺功能食管癌患者手術前后肺功能保護[J]. 中國微創外科雜志, 2009, 9(5):435-436.
10. 黎亮, 王德偉, 潘和. 食管賁門癌術后急性呼吸衰竭的危險因素分析[J]. 海南醫學, 2011, 22(4):16-20.
11. 馬雙慰, 李向東, 何明, 等. 35例食管癌患者術后呼吸功能不全的臨床高危因素分析[J].重慶醫學, 2010, 39(4):440-441.
12. 張駿, 吳佩卿, 張撿, 等. 老年食管癌術后呼吸衰竭的防治體會[J]. 中國腫瘤臨床與康復, 2002, 9(11):111-112.
13. 楊光煜, 李俊秀, 王平凡, 等. 老年人胸內胃吻合口瘺與早期急性呼吸衰竭[J]. 中華胸心血管外科雜志, 2000, 16(10):107-108.
14. Kariv Y, Delaney CP, Senagore AJ, et al. Clinical outcomes and cost analysis of a "fast track" postoperative care pathway for ileal pouch-anal anastomosis a case control study[J]. Dis Conlon Rectum, 2007, 50(2):137-141.
15. 任光國, 周允. 胸外科手術并發癥的預防與治療[M]. 北京:人民衛生出版社, 2004:100-119.
16. 王毅, 向小勇. 食管癌術后并發癥臨床分析[J]. 中國現代藥物應用, 2013, 7(4):16-17.
17. 王天佑. 快速康復外科理念與胸外科[J]. 中國胸心血管外科臨床雜志, 2014, 21(1):3-4.
18. 劉勝中, 曾富春, 薛洋, 等. 136例高齡食管癌、賁門癌患者的外科手術治療體會[J]. 四川醫學, 2011, 32(12):1864-1866.

West China Medical Journal

Prevention and Management of Respiratory Failure after Surgery for Esophageal Cancer

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