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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10.	黎亮, 王德伟, 潘和. 食管贲门癌术后急性呼吸衰竭的危险因素分析[J]. 海南医学, 2011, 22(4):16-20.
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12.	张骏, 吴佩卿, 张捡, 等. 老年食管癌术后呼吸衰竭的防治体会[J]. 中国肿瘤临床与康复, 2002, 9(11):111-112.
13.	杨光煜, 李俊秀, 王平凡, 等. 老年人胸内胃吻合口瘘与早期急性呼吸衰竭[J]. 中华胸心血管外科杂志, 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.	任光国, 周允. 胸外科手术并发症的预防与治疗[M]. 北京:人民卫生出版社, 2004:100-119.
16.	王毅, 向小勇. 食管癌术后并发症临床分析[J]. 中国现代药物应用, 2013, 7(4):16-17.
17.	王天佑. 快速康复外科理念与胸外科[J]. 中国胸心血管外科临床杂志, 2014, 21(1):3-4.
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1. 刘剑, 周福有, 耿明飞. 快速康复外科理念下食管癌术后场内营养途径的选择[J]. 河南外科学杂志, 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, 马海涛. 食管癌术后急性呼吸衰竭的病因探讨及防治[J]. 航空航天医药, 2008, 19(3):173-174.
4. 王允, 赵雍凡, 李建军, 等. 食管癌术后呼吸衰竭的高危因素分析[J]. 中国胸心血管外科临床杂志, 2000, 7(2):92-94.
5. 胡晓俭, 欧阳恒. 56例70岁以上高龄低肺功能食管癌患者围手术期处理[J]. 成都医学院学报, 2011, 6(4):352-353.
6. 潘铁成, 殷桂林. 胸心外科急症和并发症[M]. 北京:人民卫生出版社, 2006:62.
7. 毛友生, 张德超, 赫捷, 等. 食管癌和贲门癌患者术后呼吸衰竭原因分析及防治[J]. 中华肿瘤杂志, 2005, 27(12):753-756.
8. 王学中, 韩江红, 刘志广. 食管癌术后呼吸衰竭的相关危险因素分析及预防措施[J]. 中国肿瘤临床, 2012, 39(8):458-460.
9. 金成, 张利军. 高龄低肺功能食管癌患者手术前后肺功能保护[J]. 中国微创外科杂志, 2009, 9(5):435-436.
10. 黎亮, 王德伟, 潘和. 食管贲门癌术后急性呼吸衰竭的危险因素分析[J]. 海南医学, 2011, 22(4):16-20.
11. 马双慰, 李向东, 何明, 等. 35例食管癌患者术后呼吸功能不全的临床高危因素分析[J].重庆医学, 2010, 39(4):440-441.
12. 张骏, 吴佩卿, 张捡, 等. 老年食管癌术后呼吸衰竭的防治体会[J]. 中国肿瘤临床与康复, 2002, 9(11):111-112.
13. 杨光煜, 李俊秀, 王平凡, 等. 老年人胸内胃吻合口瘘与早期急性呼吸衰竭[J]. 中华胸心血管外科杂志, 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. 任光国, 周允. 胸外科手术并发症的预防与治疗[M]. 北京:人民卫生出版社, 2004:100-119.
16. 王毅, 向小勇. 食管癌术后并发症临床分析[J]. 中国现代药物应用, 2013, 7(4):16-17.
17. 王天佑. 快速康复外科理念与胸外科[J]. 中国胸心血管外科临床杂志, 2014, 21(1):3-4.
18. 刘胜中, 曾富春, 薛洋, 等. 136例高龄食管癌、贲门癌患者的外科手术治疗体会[J]. 四川医学, 2011, 32(12):1864-1866.

West China Medical Journal

Prevention and Management of Respiratory Failure after Surgery for Esophageal Cancer

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