Relationship between preoperative assessment of organ function and postoperative morbidity in patients with oesophageal cancer
Article first published online: 27 NOV 2003
Copyright © 1998 Taylor and Francis Ltd
European Journal of Surgery
Volume 164, Issue 8, pages 581–586, August 1998
How to Cite
Kuwano, H., Sumiyoshi, K., Sonoda, K., Kitamura, K., Tsutsui, S.-i., Toh, Y., Kitamura, M. and Sugimachi, K. (1998), Relationship between preoperative assessment of organ function and postoperative morbidity in patients with oesophageal cancer. Eur J Surg, 164: 581–586. doi: 10.1080/110241598750005679
- Issue published online: 27 NOV 2003
- Article first published online: 27 NOV 2003
- Cited By
To find out if strict assessment of organ function preoperatively predicted morbidity and mortality in patients being operated on for oesophageal carcinoma.
Teaching hospital, Japan.
178 patients operated on for oesophageal cancer 1989–1993.
Oesophagectomy and reconstruction (using either stomach or colon) in one stage by a right thracoabdominal 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.
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.
Accurate preoperative assessment of pulmonary function is a valuable indicator of postoperative morbidity. Copyright © 1998 Taylor and Francis Ltd.