J.Jpn. Surg. Soc.. 83(9): 887-890, 1982

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Report on the annual meeting

CLINICAL STUDY ON PULMONARY COMPLICATIONS FOLLOWING ESOPHAGEAL CANCER SURGERY

In the 2 and a half year period from September 1979 to February 1982, a total of 52 patients underwent resection for carcinoma of the esophagus in our department.
Mechanical ventilation support (CPPV or IMV) or CPAP were applied to patients immediately after operation.
Swan Ganz catheter was inserted for monitoring of circulatory condition.
The incidence of pulmonary complications following operation was 5.8%.
There was no difference in the incidence of pulmonary complication between those cases which showed abnormal preoperative pulmonary function and those who showed normal.
Intraoperative infusion of less than 7.5ml/kg/h seemed to be insufficient to maintain adequate circulating volume in the early postoperative period.
Changes of PaO₂, CI , PAP and urine volume suggested that maintaining of water balance as less than +20ml/kg/day for 3 postoperative days was more advantageous than to maintain more excessive water balance.

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