臨床外科79巻8号

2024年08月発行

特集 合併症を起こさない食道癌手術！—ハイボリュームセンターの技を学ぼう 食道癌術後合併症の現況

National Clinical Databaseからみる食道癌術後合併症と手術死亡率

著者： 掛地吉弘¹ 渡邊雅之² 河野浩二³ 上野秀樹⁴ 土岐祐一郎⁵ 北川雄光⁶ 竹内裕也⁷ 調憲⁸ 瀬戸泰之⁹

所属機関： ¹神戸大学食道胃腸外科 ²がん研有明病院食道外科 ³福島県立医科大学消化管外科 ⁴防衛医科大学校外科 ⁵大阪大学消化器外科 ⁶慶應義塾大学外科 ⁷浜松医科大学上部消化管外科 ⁸群馬大学総合外科 ⁹東京大学消化管外科

ページ範囲：P.840 - P.844

【ポイント】
◆National Clinical Database（NCD）のフィードバック機能により食道切除術後合併症および死亡率の予測ができ，術前カンファレンスやインフォームド・コンセントに活用できる．
◆一人の経験豊かな外科医よりも，施設として多くの症例を治療しているチーム医療のほうが手術死亡率を下げている可能性が示唆されている．
◆術前治療の種類によらず，胸腔鏡下食道切除術は開胸手術に比べて術後合併症の発症率と手術死亡率が優れているか同等であった．

参考文献

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