caa a22 4500 397496001 CHVBK 20180308164521.0 cr unu---uuuuu 161202e199510 xx s 000 0 eng 10.1016/S1010-7940(05)80001-6 doi (NATIONALLICENCE)oxford-10.1016/S1010-7940(05)80001-6 Respiratory complications after surgical treatment of esophageal cancer. A study of 309 patients according to the type of resection [Elektronische Daten] This study analyzes the respiratory complications in a retrospectivestudy of 309 resections for esophageal cancer. We mainly performed twotypes of resections according to the height of the tumor: the Ivor- Lewisresection for middle thoracic lesions (182 cases), and the Akiyamaresection for upper thoracic lesions (127 cases). We compared therespiratory complications occurring after these two procedures. Our overallmortality and morbidity rates were, respectively, 9% and 37%. In ourseries, the mortality rate was 4 times higher after the Akiyama procedurethan after the Ivor-Lewis procedure, and the morbidity was twice as high.Respiratory complications accounted for 64% of the postoperative deaths.The Akiyama procedure yielded more respiratory complications, especiallyisolated bronchopneumonia and necrosis of the trachea or of the right orleft main bronchus. Respiratory complications accounted for 53% ofmorbidity, mainly recurrent nerve paralysis with false passages and stasisin the transplant. Both are directly related to the surgical act and oftenresult in bronchopneumonia. Rather than the surgical technique or the skillof the surgeon, it seems that local factors, such as the position of thetumor on the esophagus, increased the incidence of recurrent nerveparalysis following the Akiyama procedure. However, the rate of respiratorycomplications remained high after the Ivor-Lewis procedure. Patienthistory, which sometimes included a previous ENT cancer, must be taken intoaccount, as well as the gravity of the operation and the duration of theintubation. Frequent false passages and reflux must be fought by intensivephysiotherapy and, when necessary, by early tracheotomy before the patientdevelops postoperative acute respiratory distress syndrome. © Springer-Verlag European Journal of Cardio-Thoracic Surgery Elsevier Science B.V. 9/10(1995-10), 539-543 1010-7940 9:10<539 1995 9 ejcts https://doi.org/10.1016/S1010-7940(05)80001-6 text/html Onlinezugriff via DOI 1 abstract jats NATIONALLICENCE 856 40 https://doi.org/10.1016/S1010-7940(05)80001-6 text/html Onlinezugriff via DOI NATIONALLICENCE 773 0- European Journal of Cardio-Thoracic Surgery Elsevier Science B.V 9/10(1995-10), 539-543 1010-7940 9:10<539 1995 9 ejcts Metadata rights reserved CC BY-NC-4.0 http://creativecommons.org/licenses/by-nc/4.0 nationallicence BK010053 XK010053 XK010000 NATIONALLICENCE NATIONALLICENCE NL-oxford