PT  - JOURNAL ARTICLE
AU  - MAKOTO SOHDA
AU  - KENGO KURIYAMA
AU  - YUJI KUMAKURA
AU  - TOMONORI YOSHIDA
AU  - HIROAKI HONJYO
AU  - MAKOTO SAKAI
AU  - TATSUYA MIYAZAKI
AU  - MASAFUMI KANEMOTO
AU  - MASARU TOBE
AU  - HIROSHI HINOHARA
AU  - SHIGERU SAITO
AU  - HIROYUKI KUWANO
TI  - Evaluation of Surgical Procedures that Affect the Hemodynamics Using the FloTrac System in Esophageal Cancer Patients
AID  - 10.21873/invivo.11593
DP  - 2019 Jul 01
TA  - In Vivo
PG  - 1221--1226
VI  - 33
IP  - 4
4099  - http://iv.iiarjournals.org/content/33/4/1221.short
4100  - http://iv.iiarjournals.org/content/33/4/1221.full
SO  - In Vivo2019 Jul 01; 33
AB  - 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.