Safety and efficacy of hydroxyethyl starch 6% 130/0.4/9 solution versus 5% human serum albumin in thoracic esophagectomy with 3-field lymph nodes dissection

Fujita, Takeo; Okada, Nagaya; Horikiri, Yasumasa; Sato, Tetsumi; Fujiwara, Hisashi; Kanamori, Jun; Yamamoto, Hiroyuki; Daiko, Hiroyuki

doi:10.1007/s00595-018-1752-6

Cited by 12 publications

(18 citation statements)

References 21 publications

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“…Histological evaluation of endoscope-guided biopsy specimens was performed in all cases. Data on the preoperative stage of the disease, histopathological findings, surgical procedures performed, and outcomes were collected from the patient medical records, as described previously [ 10 ].…”

Section: Methodsmentioning

confidence: 99%

“…The laparoscopic approach was principally used, except in cases with bulky lymph node metastasis or previous history of abdominal surgery via laparotomy. The esophagus was usually reconstructed with a gastric tube via the retrosternal route; right hemi-colic reconstruction was performed via the posterior sternal route when gastrectomy of the remnant stomach was required, as described previously [ 10 ].…”

Section: Methodsmentioning

confidence: 99%

“…In brief, upon patient arrival in the operating room, routine monitoring was applied, which included electrocardiography, noninvasive blood pressure monitoring, pulse oximetry, and capnography. Before the induction of anesthesia, an epidural catheter was inserted at the fifth to sixth thoracic interspace, and placed 5 cm beyond the introducing needle tip, as described previously [ 10 ].…”

Section: Methodsmentioning

confidence: 99%

“…Anesthesia was then maintained with 2% end-tidal sevoflurane at 40% oxygen (air/oxygen mixture at 4 L/min) supplemented with doses of fentanyl and vecuronium. A heat- and moisture-exchanging filter was positioned between the endotracheal tube and the breathing circuit, as described previously [ 10 ].…”

Section: Methodsmentioning

confidence: 99%

“…Symptomatic remote infections were also included in the analysis. Among the remote infections, respiratory infection was defined as the presence of new or progressive infiltrates on chest radiographs, plus at least two of the following signs of respiratory tract infection: temperature > 38 °C, purulent sputum, leukocytosis of > 1 × 10 4 /mm 3 or leukopenia of < 4 × 10 3 /mm 3 , and signs of inflammation on auscultation, as described previously [ 10 ].…”

Section: Methodsmentioning

confidence: 99%

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Propensity-matched analysis of the efficacy of olanexidine gluconate versus chlorhexidine-alcohol as an antiseptic agent in thoracic esophagectomy

et al. 2022

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Background In the present matched-cohort study, we investigated the efficacy of olanexidine gluconate in comparison with chlorhexidine-alcohol as an antiseptic agent in thoracic esophagectomy. Methods A total of 372 patients with esophageal cancer who were scheduled to undergo thoracic esophagectomy between 2016 and 2018 were assigned to one of two groups based on the preoperative antiseptic agent used in thoracic esophagectomy. We investigated the incidence of surgical site infectious complications in the propensity-matched cohort. Results Based on the propensity score, 116 patients prepared with 1.5% olanexidine gluconate and 114 patients prepared with 1.0% chlorhexidine-alcohol as surgical skin antisepsis were selected. No significant intergroup differences were observed with respect to incisional surgical site infection (0.8% in the olanexidine group versus 0.8% in the chlorhexidine group) and deep fascial/organ space surgical site infection (1.7%/10.3% in the olanexidine group versus 3.5%/15.7% in the chlorhexidine group, p = 0.39/p = 0.03). Notably, the respective incidences of surgical site infection except anastomotic leakage were 1.7% and 7.0% in the olanexidine and chlorhexidine groups (p = 0.04). Conclusions Olanexidine gluconate was well tolerated and significantly reduced incidence of surgical site infection except anastomotic leakage in comparison with chlorhexidine-alcohol as an antiseptic agent in thoracic esophagectomy with three-field lymph node dissection.

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Section: Methodsmentioning

confidence: 99%

Section: Methodsmentioning

confidence: 99%

Section: Methodsmentioning

confidence: 99%

Section: Methodsmentioning

confidence: 99%

Section: Methodsmentioning

confidence: 99%

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Propensity-matched analysis of the efficacy of olanexidine gluconate versus chlorhexidine-alcohol as an antiseptic agent in thoracic esophagectomy

et al. 2022

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Propensity‐Matched Analysis of the Short‐Term Outcome of Robot‐Assisted Minimally Invasive Esophagectomy Versus Conventional Thoracoscopic Esophagectomy in Thoracic Esophageal Cancer

et al. 2022

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Background In this matched-cohort study, we investigated the short-term outcome of robot-assisted minimally invasive esophagectomy (RAMIE) compared with conventional minimally invasive thoracoscopic esophagectomy (MIE) in esophageal cancer patients. Methods One hundred eighty-nine patients with thoracic esophageal cancer scheduled to undergo thoracic esophagectomy between 2020 and 2021 were assigned to either RAMIE or MIE. Then, we retrospectively evaluated the postoperative surgical complications between two groups in a propensity-matched analyzation. Results Based on the propensity-matched score, 50 patients who underwent RAMIE or MIE were selected. Thoracic surgery time in RAMIE/MIE group were 233.1/173.3 min (p \ 0.01), respectively. No significant intergroup differences were observed regarding incisional anastomotic leakage (RAMIE group 4.0% vs. MIE group 6.0%) and pneumonia (RAMIE group 8.0% vs. MIE group 12.0%; p = 0.68). The respective incidences of recurrent laryngeal nerve paralysis were 34.0 and 8.0% in the MIE and RAMIE groups, respectively (p \ 0.01). In the matched cohort, no differences were observed between the groups in the success accomplishment of the clinical management pathway (RAMIE group 94.0% vs. MIE group 88.0%). Conclusions Although patients who underwent RAMIE had longer operation times, the incidence of recurrent laryngeal nerve paralysis was lower than with MIE. Further study in a prospective multi-institutional setting are required to confirm the superiority of RAMIE compared with MIE.

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A novel imaging technology to assess oxygen saturation of the gastric conduit in thoracic esophagectomy

et al. 2022

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Safety and efficacy of hydroxyethyl starch 6% 130/0.4/9 solution versus 5% human serum albumin in thoracic esophagectomy with 3-field lymph nodes dissection

Cited by 12 publications

References 21 publications

Propensity-matched analysis of the efficacy of olanexidine gluconate versus chlorhexidine-alcohol as an antiseptic agent in thoracic esophagectomy

Propensity-matched analysis of the efficacy of olanexidine gluconate versus chlorhexidine-alcohol as an antiseptic agent in thoracic esophagectomy

Propensity‐Matched Analysis of the Short‐Term Outcome of Robot‐Assisted Minimally Invasive Esophagectomy Versus Conventional Thoracoscopic Esophagectomy in Thoracic Esophageal Cancer

A novel imaging technology to assess oxygen saturation of the gastric conduit in thoracic esophagectomy

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