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慢性腎不全合併肺癌切除例における周術期管理と手術適応に関する臨床的検討
http://hdl.handle.net/10470/25488
http://hdl.handle.net/10470/25488ff8e8953-5a64-4132-98b4-b6804031ece6
名前 / ファイル | ライセンス | アクション |
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KJ00006020580.pdf (576.7 kB)
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Item type | 学術雑誌論文 / Journal Article(1) | |||||
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公開日 | 2010-08-10 | |||||
タイトル | ||||||
タイトル | 慢性腎不全合併肺癌切除例における周術期管理と手術適応に関する臨床的検討 | |||||
言語 | ||||||
言語 | jpn | |||||
資源タイプ | ||||||
資源タイプ識別子 | http://purl.org/coar/resource_type/c_6501 | |||||
資源タイプ | journal article | |||||
別タイトル | ||||||
その他のタイトル | Clinical Study About Perioperative Management and Indication of Operation in Lung Cancer Patients with Chronic Renal Failure | |||||
著者名 |
小原, 徹也
× 小原, 徹也× 大貫, 恭正× 湯浅, 章平× 銭, 勇× 新田, 澄郎 |
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著者別名 | ||||||
姓名 | OBARA, Tetsuya | |||||
著者別名 | ||||||
姓名 | ONUKI, Takamasa | |||||
著者別名 | ||||||
姓名 | YUASA, Shohei | |||||
著者別名 | ||||||
姓名 | QIAN, Yong | |||||
著者別名 | ||||||
姓名 | NITTA, Sumio | |||||
出版者 | ||||||
出版者 | 東京女子医科大学学会 | |||||
受付日付 | ||||||
日付 | 2010-08-10 | |||||
日付タイプ | Created | |||||
ISSN | ||||||
収録物識別子タイプ | ISSN | |||||
収録物識別子 | 0040-9022 | |||||
NCID | ||||||
収録物識別子タイプ | NCID | |||||
収録物識別子 | AN00161368 | |||||
書誌情報 |
東京女子医科大学雑誌 巻 70, 号 12, p. 777-783, 発行日 2000-12-25 |
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著者版フラグ | ||||||
出版タイプ | VoR | |||||
出版タイプResource | http://purl.org/coar/version/c_970fb48d4fbd8a85 | |||||
抄録 | ||||||
内容記述タイプ | Abstract | |||||
内容記述 | This study on perioperative management and indications analized 15 patients (796 resected lung cancer) with chronic renal failure (10 dialyzed, 5 ^non-dialyzed). Renal failure causes were mainly diabetic nephrophathy and chronic glomerulonephritis; six patients also had cerebrovascular or ischemic heart disease. Fourteen patients received lobectomies; six also had muscle-lapping of the bronchial stump. The dialyzed group showed higher serum creatinine levels; post 24-hour urinary output was significantly less than the control group. The non-dialyzed group had more urinary output than the control group due to low-dose dopamine administrations. Postoperatively, six patients developed infections; three developed pulmonary edema but there was no occurrence of broncho-pleural fistula. In the non-dialyzed patients, renal function was preserved by an appropriate infusion level. The five-year survival rate was 10.1% in the renal failure group, compared with 44.4% in all resected patients (p<0.05), including five cancer deaths and seven other causes. Pulmonary resection is possible for chronic renal failure after careful examination of preoperative cardiopulmonary function and close monitoring of water-balance including postoperative dialysis. Because of the increase in diabetic nephropathy with ischemic heart disease and a poorer prognosis than for non-diabetics, operative indications are prudent for advanced lung cancer with chronic renal failure. | |||||
著者所属 | ||||||
東京女子医科大学医学部第一外科学 | ||||||
著者所属 | ||||||
東京女子医科大学医学部第一外科学 | ||||||
著者所属 | ||||||
東京女子医科大学医学部第一外科学 | ||||||
著者所属 | ||||||
東京女子医科大学医学部第一外科学 | ||||||
著者所属 | ||||||
東京女子医科大学医学部第一外科学 |