Abstract
A long operation to treat carcinoma of lower gingiva in a patient who had been undergoing hemodialysis was complicated by massive hemorrhage. The patient was a 60-year-old male undergoing hemodialysis three times a week because of chronic renal failure for five years. After radiation therapy and chemotherapy ( UFT® 300mg/day), hemimandibulectomy and total neck dissection of the right side were performed under general anesthesia. UFT®, safe carcinostatic for patients undergoing hemodialysis, was dialyzed. Before the operation, a blood transfusion was carried out to correct the anemia. Because of the supernumerary transfusion during postoperative treatment, dry weight was decreased. Although there was no recurrence and metastasis, the patient died of pulmonary complication fifteen months after operation.
