Effect of Multidisciplinary Team Approach on Prevention of Postoperative Pulmonary Complications in Patients with Esophageal Cancer

Abstract

4.3% and 16.2% in the MDT group and NMDT group, respectively. After the logistic regression analysis and multivariate analysis for correction of all considerable confounding factors, the MDT group demonstrated a significantly lesser incidence rate of PPCs than the NMDT group (OR: 0.16, 95% confidential interval: 0.02-0.75). CONCLUSION: This study revealed that the MDT approach reduced the occurrence of PPCs in esophageal cancer patients who underwent esophagectomy. The adequate perioperative management and considerable early rehabilitation and mobilization with risk management should be provided to prevent PPCs. IntroductIonSurgical operation has been recently performed in an increasing number of elderly patients. The high prevalence of comorbidities, such as cardiopulmonary diseases and diabetes mellitus (DM), limited functional reserve, and malnutrition are the risk factors for postoperative complications in elderly patients [1][2][3][4] . Esophagectomy is the optimal therapy for patients with resectable esophageal cancer. However, thoracic and abdominal surgical procedures in esophagectomy are associated with a high incidence of postoperative pulmonary complications (PPCs). The incidence rates of PPCs related Junichiro Inoue, Daisuke Makiura, Miyuki Kashiwa-Motoyama, Yasushi Miura, Yoshitada Sakai, Division of Rehabilitation Medicine, Kobe University Hospital, 7-5-2 Kusunoki-cho, Chuo-ku, Kobe, 650-0017, Japan Rei Ono, Daisuke Makiura, Yasushi Miura, Department of Health Science, Kobe University Graduate School of Health Sciences, 7-10-2 Tomogaoka, Suma-ku, Kobe, 654-0142, Japan Tetsu Nakamura, Tatsuya Imanishi, Division of Gastroenterological Surgery, Kobe University Graduate School of Medicine, 7-5-2 Kusunoki-cho, Chuo-ku, Kobe, 650-0017, Japan Yoshitada Sakai, Division of Rehabilitation Medicine, Kobe University Graduate School of Medicine, 7-5-2 Kusunoki-cho, Chuoku, Kobe, 650-0017, Japan Correspondence to: Junichiro Inoue, RPT, PhD, Division of Rehabilitation Medicine, Kobe University Hospital, 7-5-2 Kusunokicho, Chuo-ku, Kobe 650-0017, Japan. RESULTS:The results demonstrated that the rates of PPCs were