TY - JOUR
T1 - Impact of perioperative peripheral blood values on postoperative complications after esophageal surgery
AU - Saeki, Hiroshi
AU - Masuda, Takanobu
AU - Okada, Satoko
AU - Ando, Koji
AU - Sugiyama, Masahiko
AU - Yoshinaga, Keiji
AU - Endo, Kazuya
AU - Sadanaga, Noriaki
AU - Emi, Yasunori
AU - Kakeji, Yoshihiro
AU - Morita, Masaru
AU - Yamashita, Natsumi
AU - Maehara, Yoshihiko
PY - 2010/7
Y1 - 2010/7
N2 - Purpose: Prediction of the postoperative course of esophagectomy is an important part of the strict perioperative management of patients undergoing surgery for esophageal cancer. Methods: To evaluate their clinical importance, peripheral blood values, including white blood cell count (WBC), lymphocyte count, and the levels of total protein, transferrin, factor XIII, D-dimer, fibrin, and fibrinogen degradation products (FDP) were measured before and after esophagectomy for esophageal cancer in 24 patients. Results: The preoperative WBC and the pre- and postoperative lymphocyte count were decreased remarkably in patients who received preoperative chemoradiotherapy. The values of perioperative serum transferrin were significantly lower in patients with postoperative pneumonia than in those without. The activity of plasma factor XIII was suppressed on postoperative day (POD) 7 in patients with pneumonia and on POD 14 in patients with leakage. Conclusions: These results suggest that patients who receive preoperative chemoradiotherapy are potentially immunosuppressed, the preoperative serum transferrin level is a possible predictive marker of postoperative pneumonia, and suppression of factor XIII activity is related to anastomotic insufficiency.
AB - Purpose: Prediction of the postoperative course of esophagectomy is an important part of the strict perioperative management of patients undergoing surgery for esophageal cancer. Methods: To evaluate their clinical importance, peripheral blood values, including white blood cell count (WBC), lymphocyte count, and the levels of total protein, transferrin, factor XIII, D-dimer, fibrin, and fibrinogen degradation products (FDP) were measured before and after esophagectomy for esophageal cancer in 24 patients. Results: The preoperative WBC and the pre- and postoperative lymphocyte count were decreased remarkably in patients who received preoperative chemoradiotherapy. The values of perioperative serum transferrin were significantly lower in patients with postoperative pneumonia than in those without. The activity of plasma factor XIII was suppressed on postoperative day (POD) 7 in patients with pneumonia and on POD 14 in patients with leakage. Conclusions: These results suggest that patients who receive preoperative chemoradiotherapy are potentially immunosuppressed, the preoperative serum transferrin level is a possible predictive marker of postoperative pneumonia, and suppression of factor XIII activity is related to anastomotic insufficiency.
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U2 - 10.1007/s00595-009-4135-1
DO - 10.1007/s00595-009-4135-1
M3 - Article
C2 - 20582513
AN - SCOPUS:77955616594
VL - 40
SP - 626
EP - 631
JO - Surgery Today
JF - Surgery Today
SN - 0941-1291
IS - 7
ER -