Surgical safety analysis of simultaneous resection for synchronous primary esophageal carcinoma and lung cancer
10.12025/j.issn.1008-6358.2017.20160957
- VernacularTitle:双原发食管癌肺癌同期手术切除的疗效及安全性分析
- Author:
Jia-Hao JIANG
1
;
Chun-Lai LU
;
Yun-Feng YUAN
;
Jie GU
;
Feng-Kai XU
;
Di GE
Author Information
1. 复旦大学附属中山医院胸外科
- Keywords:
synchronouprimarcancer;
simultaneouresection;
safety
- From:
Chinese Journal of Clinical Medicine
2017;24(2):269-271
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To investigate the safety of simultaneous resection of patients suffering with synchronous primary esophageal carcinoma and primary lung cancer.Methods:Seven patients meeting the following diagnostic criteria: histologically.All patients underwent radical resection of esophageal carcinoma, and simultaneously underwent radical resection of lung cancer.Surgical effect and sufety were observed.Results:There were 6 male patients and 1 female patient in all the 7 patients.The mean age was (61±7.26) years old.The average preoperative FEV1 was (2.50±0.63) L, the average FEV1 / FVC was (84.18±18.74)%, and the mean LVEF was (64.83±4.02)%.All of the 7 patients successfully underwent radical resection for esophageal carcinoma and pneumonectomy.The upper abdomen and right thoracotomy incision was performed in 5 cases, and the left thoracic incision in 2 cases.The site of surgical incision was determined by the location of lung tumor.The average intraoperative blood loss was (157.14±53.45) mL.All the patients recovered well after operation.There were no serious or deadly operative complications such as tracheoesophageal fistula and bronchopleural fistula.The average postoperative hospital stay was (11.7±1.98) days.Conclusions:Simultaneous surgical resection does not increase the surgical complications and is a safe treatment of patients with synchronous primary esophageal carcinoma and lung cancer.Good preoperative cardiopulmonary function may be a key factor affecting the safety of surgery.
