Surgical treatment of lung cancer complicated with liver cirrhosis, esophageal varices and pancytopenia: a case report
Kodama, H.; Ikemura, S.; Aiba, T.; Anzai, T.; Yoshida, I.; Morishita, Y.
Kyobu Geka. Japanese Journal of Thoracic Surgery 48(5): 426-429
1995
ISSN/ISBN: 0021-5252 PMID: 7745873 Document Number: 451831
Left upper lobectomy and lymph node dissection were successfully performed in a 75-year-old man with lung cancer combined with liver cirrhosis, esophageal varices and pancytopenia. No postoperative complications were encountered due to appropriate fluid transfusion, sufficient administration of fresh frozen plasma and well-chosen antibiotics. In lung operations on patients with liver cirrhosis, it is important to determine the operative indication according to natural history of liver cirrhosis and lung cancer, operative risk and prognosis. Furthermore, the management with special attention to complicated conditions of liver cirrhosis is necessary at the time of surgery.