Abstract
We report 3 cases recovering from severe failure of 3 organs after the operation.
The first case was a 69 year old male. Grafting operation was performed for the abdominal aortic aneurysm. After declamping of the aorta he developed severe shock which resulted in acute renal insufficiency, liver failure and cerebral lesion, and he was treated by artificial hemodialysis of as much as 41 times and artificial liver.
The second case was a 60 year old male. Esophageal transection under the left thoracotomy and transdiaphragmatic splenectomy were performed for the esophageal varices (liver cirrhosis). On the 7th postoperative day he fell into the 3rd grade level of unconsciousness of Sherlock. Moreover, esophageal and diaphragmatic suture insufficiency were accompanied, which caused severe respiratory insufficiency requiring artificial respiration for 52 days.
The third case was a 53 year old male and had a past history of right upper lobectomy and right thoracoplasty for the lung tuberculosis. For the lower thoracic esophageal carcinoma, we performed thoracic esophageal resection under the right thoracotomy and the esophagus was reconstructed by pulling up of the stomach retrosternally. After the operation he developed severe shock associated with respiratory failure and hepato-renal insufficiency. He was recovered from these complications by careful management of artificial respiration and nutrition.
