論文

2021年12月

[Postoperative Management of Refractory Pleural Effusion in a Patient with Esophageal Cancer Accompanied by Cirrhosis].

Gan to kagaku ryoho. Cancer & chemotherapy
  • Yu Xiaolin
  • Shigeru Takeda
  • Yusaku Watanabe
  • Michihisa Iida
  • Tsunenori Yamamoto
  • Chiyo Nakashima
  • Mitsuo Nishiyama
  • Hiroto Matsui
  • Yoshitaro Shindo
  • Yukio Tokumitsu
  • Shinobu Tomochika
  • Shin Yoshida
  • Nobuaki Suzuki
  • Tatsuya Ioka
  • Hiroaki Nagano
  • 全て表示

48
13
開始ページ
2036
終了ページ
2038
記述言語
日本語
掲載種別
研究論文(学術雑誌)

This study reports a case of a 61-year-old man with a chief complaint of anemia. The patient was diagnosed with esophageal cancer(Stage Ⅰ). Preoperative examination revealed alcoholic liver cirrhosis(Child-Pugh A, liver damage B). After a period of abstinence to improve liver function, minimally invasive esophagectomy, retrosternal reconstruction with a gastric tube, and two-field lymph node dissection were performed. The thoracic duct was preserved during the operation. Post- surgery, the bill pleural effusion was increased. Drainage was initiated using thoracentesis with frosemide, spironolactone, and tolvaptan. On post-operating day(POD)35, the patient was discharged; however, right pleural effusion continued to increase. Therefore, cell-free and concentrated reinfusion therapy for right pleural effusion was performed on POD 56. After the treatment, the pleural effusion was well-controlled with 20 mg of frosemide. This case suggested that cell-free and concentrated pleural effusion reinfusion therapy contributed to the management of refractory pleural effusion in patients with esophageal cancer accompanied by cirrhosis.

リンク情報
PubMed
https://www.ncbi.nlm.nih.gov/pubmed/35045485
ID情報
  • ISSN : 0385-0684
  • PubMed ID : 35045485

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