title: [Perioperative management of open-chest surgery for cancer patients in advanced stage in aged and with respiratory insufficiency].
abstract: For patients with chest cancer who are in advanced stage, aged, or/and with respiratory insufficiency, the key to the success of open-chest surgery is intensive management of the respiratory tract and proper treatment of complications in perioperative period. From May 1984 to November 1995, 1661 patients with esophageal and lung cancer underwent thoracotomy in our hospital. 198 of the 1661 patients fit in with the standards of advanced, aged or respiratory insufficiency. The patients were aged over 70 years, with the length of esophageal cancer over 10 cm and, the MVV less than 50% (least 24.3%). The results the patients were satisfactory because a series of the effective measures of perioperative management were tahen. They incladed thyrocrico-puncture and use of a fine tube through which drugs were injected to irritate cough sputum out; examination and suction with bronchofiberoscope; tracheo-bronchial lavage through bronchofiberoscope with antibiotics solution; and tracheotomy using ventilator appropriately. Perioperative intensive management is very important for extending operation indication and tiding over critical period.
authors.affiliation: Department of Thoracic Cardiovascular Surgery, 81st Hospital of People's Liberation Army, Nanjing.
authors.forename: Y
authors.initials: Y
authors.lastname: Ye
authors.forename: D
authors.initials: D
authors.lastname: Wang
authors.forename: C
authors.initials: C
authors.lastname: Shao
mesh_terms: D000368:Aged; D000369:Aged, 80 and over; D004938:Esophageal Neoplasms / Q000150:complications / Q000601:surgery*; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D007430:Intraoperative Care; D008175:Lung Neoplasms / Q000150:complications / Q000601:surgery*; D008297:Male; D009367:Neoplasm Staging; D012121:Respiration, Artificial; D012131:Respiratory Insufficiency / Q000209:etiology / Q000628:therapy*; D013908:Thoracotomy