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- W2324838136 abstract "A 58-year-old woman who had been under chronic HD for 16 years due to chronic glomerulonephritis was admitted to the hospital because of dysphagia. Esophagography revealed a presence of advanced cancer of type 2 in the middle of the intrathoracic esophagus. Neoadjuvant chemoradiotherapy was performed at first. Subtotal esophagectomy with R3 lymph node dissection and reconstruction by esophagogastrostomy through the retrosternal route were intended, but tracheal laceration occurred during intubation. As a result, esophagostomy without reconstruction was performed insteal after the subtotal esophagectomy at the operation. Considering the complications of chronic HD, second stage operation seemed safer. Sixteen days later, an esophagogastrostomy was performed secondarily, CHF was undertaken immediately after each operation followed by HD 3 times a week. The postoperative course was uneventful except for a minor leakage at the stump of gastic roll. She has fared well without evidence of recurence for 21 months after the surgery. Though a radical operation for a regular hemodyalysis patient with advanced esophageal cancer has not been reported, this case suggests the fesibility of radical operation by an improved perioperative managemnet and on a two-step approach." @default.
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- W2324838136 date "1997-01-01" @default.
- W2324838136 modified "2023-09-28" @default.
- W2324838136 title "RADICAL OPERATION FOR REGULAR HEMODIALYSIS PATIENT WITH ADVANCED ESOPHAGEAL CANCER-A CASE REPORT-" @default.
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- W2324838136 doi "https://doi.org/10.3919/ringe1963.58.795" @default.
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