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Eur J Surg. 1998 Aug;164(8):581-6.

Relationship between preoperative assessment of organ function and postoperative morbidity in patients with oesophageal cancer.

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1
Department of Surgery II, Faculty of Medicine, Kyushu University, Fukuoka, Japan.

Abstract

OBJECTIVE:

To find out if strict assessment of organ function preoperatively predicted morbidity and mortality in patients being operated on for oesophageal carcinoma.

DESIGN:

Retrospective study.

SETTING:

Teaching hospital, Japan.

SUBJECTS:

178 patients operated on for oesophageal cancer 1989-1993.

INTERVENTIONS:

Oesophagectomy and reconstruction (using either stomach or colon) in one stage by a right thoracoabdominal approach in 173, and transhiatal resection in 5 with either poor pulmonary reserve or early lesions.

MAIN OUTCOME MEASURES:

Correlation between preoperative assessment of organ function and postoperative development of complications.

RESULT:

79 patients (44%) developed complications and 6 died (3%). Pulmonary dysfunction preoperatively was significantly associated with the development of all complications (p=0.001) and of postoperative pulmonary complications (p=0.04). No other preoperative assessment correlated significantly with the development of postoperative complications.

CONCLUSION:

Accurate preoperative assessment of pulmonary function is a valuable indicator of postoperative morbidity.

PMID:
9720934
DOI:
10.1080/110241598750005679
[Indexed for MEDLINE]
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