著者

YASUTOMO YAJIMA HIROYASU NOMA KIYOHIRO KASAHARA EIZO TAKEDA

出版者

東京歯科大学

雑誌

The Bulletin of Tokyo Dental College (ISSN:00408891)

巻号頁・発行日

vol.41, no.4, pp.187-194, 2000 (Released:2007-02-01)

参考文献数

13

被引用文献数

4 4

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Systemic inflammatory response syndrome (SIRS) symptoms immediately after surgery have lately been regarded as potential warnings of impending postoperative complications and multiple organ failure. Reports discussing the relationship between operative stress and SIRS are found in the field of digestive surgery, but not in that of oral surgery. Forty oral cancer cases who had undergone neck dissection (Level III or higher) from January 1998 to June 1999 were involved in this study. We assigned 16 cases who met two of the several diagnostic criteria for SIRS and continued to meet them for at least 24 hours after surgery to the SIRS group. The other 24 patients were assigned to the non-SIRS group. Postoperative complications occurred in 56.3% of the SIRS group and 8.3% of the non-SIRS group (p<0.05). In two cases, the postoperative fluctuation of IL-6 level was evaluated. These results suggest the importance of careful management of postoperative SIRS patients to prevent complications.