Evaluation of Surgical Procedures that Affect the Hemodynamics Using the FloTrac System in Esophageal Cancer Patients.
BACKGROUND/AIM
Esophagectomy is more invasive compared to other gastrointestinal surgery types. Perioperative circulatory management is important to avoid postoperative heart complications. The FloTrac sensor along with the Vigileo monitor is a minimally invasive haemodynamic monitoring device. Here, we examined different surgical procedures affecting hemodynamics using the FloTrac system in esophageal cancer patients following esophagectomy.


PATIENTS AND METHODS
Thirty-one patients undergoing postoperative monitoring with the FloTrac sensor/Vigileo monitor system following esophagectomy were included. Evaluation of cardiac index (CI) and stroke volume variation (SVV) measurements were performed by analyzing the number of aberrant values. We evaluated the correlation between the number of aberrant values of CI, SVV and surgical methods of esophagectomy and perioperative factors.


RESULTS
There was no significant correlation between the number of aberrant values of CI, SVV and operative approach or fields of lymphadenectomy. Regarding the reconstruction route following esophagectomy, there was a significant correlation between the number of aberrant values of CI, SVV and retrosternal route compared with other routes. There was a significant correlation between the number of aberrant values of SVV and preoperative heart complication.


CONCLUSION
Hemodynamic stability management using FloTrac/Vigileo system following esophagectomy is useful for safe performance of postoperative management of esophageal cancer patients.
['Sohda|Makoto|M|', 'Kuriyama|Kengo|K|', 'Kumakura|Yuji|Y|', 'Yoshida|Tomonori|T|', 'Honjyo|Hiroaki|H|', 'Sakai|Makoto|M|', 'Miyazaki|Tatsuya|T|', 'Kanemoto|Masafumi|M|', 'Tobe|Masaru|M|', 'Hinohara|Hiroshi|H|', 'Saito|Shigeru|S|', 'Kuwano|Hiroyuki|H|']
D000368:Aged D000369:Aged, 80 and over D019468:Disease Management D004938:Esophageal Neoplasms D016629:Esophagectomy D005260:Female D006334:Heart Function Tests D000074743:Hemodynamic Monitoring D006439:Hemodynamics D006801:Humans D008297:Male D008875:Middle Aged D011182:Postoperative Care D011183:Postoperative Complications D013318:Stroke Volume
hemodynamic esophageal cancer esophagectomy FloTrac sensor retrosternal route