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

Kuwano, Hiroyuki; Sumiyoshi, Kohei; Sonoda, Kohei; Kitamura, Kenichiro; Tsutsui, Shinichi; Toh, Yasushi; Kitamura, Masayuki; Sugimachi, Keizō

doi:10.1080/110241598750005679

Cited by 59 publications

(31 citation statements)

References 8 publications

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“…6 Accurate preoperative staging, particularly with regard to the depth of tumor invasion, involvement of lymph nodes, and distant metastasis, is vital in determining the most appropriate procedures for curative surgery of thoracic esophageal SCC. 1 In this study, FDG uptake in the primary tumor was detected in 25 of 32 cases, and when the depth of invasion reached the propria muscle layer, FDG uptake was observed in all cases. There was significant correlation between FDG uptake and the depth of invasion, lymph node metastasis, lymphatic invasion, and the size of the tumor.…”

Section: Discussionsupporting

confidence: 47%

Comparison between positron emission tomography and computed tomography in the use of the assessment of esophageal carcinoma

Kato

Kuwano

Nakajima

et al. 2002

Cancer

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275

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Section: Discussionsupporting

confidence: 47%

Comparison between positron emission tomography and computed tomography in the use of the assessment of esophageal carcinoma

Kato

Kuwano

Nakajima

et al. 2002

Cancer

Self Cite

275

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“…In general, a poor pulmonary status involving a %VC of <80% and an FEV1.0% of <70% is associated with both pulmonary and non-pulmonary postoperative morbidity (15). In the present study, FEV1.0% was the most effective predictor of postoperative pulmonary complications, whereas %VC was not an effective predictor of postoperative pulmonary complications.…”

Section: Discussioncontrasting

confidence: 47%

“…Barrera et al evaluated 300 patients who had undergone thoracic surgery and divided them into 4 groups: non-smokers, past quitters (who stopped smoking >2 months ago), recent quitters (who stopped >1 week ago and ≤2months ago) and current smokers (31). The incidence of postoperative pneumonia was significantly different between the non-smokers and the smokers in the 4 groups, (3,10,15, and 23%, respectively). In the present study, we were not able to analyze the duration of smoking cessation in detail due to insufficient smoking data.…”

Section: Variablesmentioning

confidence: 86%

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Risk factors for postoperative respiratory complications following esophageal cancer resection

et al. 2012

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Abstract. The development of surgical and postoperative management techniques has improved the treatment outcomes of esophageal cancer resection. However, respiratory morbidity is still the most frequent complication after esophagectomy. The objective of the present study was to identify risk factors for respiratory complications following resection for esophageal cancer. This study included 96 patients with esophageal cancer who had undergone esophagectomy with lymph node dissection. The patients were divided into 2 groups according to the presence (20 patients, 17 had pneumonia and 3 had acute respiratory distress syndrome) or absence (76 patients) of postoperative respiratory complications (PRC). The two groups were compared with respect to their preoperative clinical variables, such as age, body mass index, smoking history, serum albumin, serum C-reactive protein (CRP), number of lymphocytes, %VC, FEV1.0% and FEV1.0. Furthermore, multiple logistic regression analyses were used to estimate relative risk factors for respiratory complications. Results of the univariate analysis showed that smoking history (+/-, patients with PRC, 19/1 and without PRC, 53/23), serum CRP (≥1.0 mg/ dl/<1.0 mg/dl, patients with PRC, 6/14 and without PRC, 6/70) and FEV1.0% (≥60%/<60%, patients with PRC, 16/4 and without PRC, 73/3) were significantly different between the two groups. Multiple logistic regression analysis showed that FEV1.0% was the strongest predictor of PRC. FEV1.0%, serum CRP and smoking history are reliable predictors of the risk of respiratory complications following esophageal cancer resection. For patients with these factors, perioperative management for the prevention of postoperative respiratory complications should be considered.

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“…In the measurements, BI and blood loss had a higher tendency in the NMDT group than in the MDT group. It is reported that age, sex, and BI were considered as predictors of PPCs [21][22][23][24] . In this study, age, sex, BI, blood loss, and presence of recurrent laryngeal nerve palsy were selected as predictors of PPCs according to the previous studies.…”

Section: Resultsmentioning

confidence: 99%

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

Inoue

Ono

Makiura

et al. 2014

Journal of Gastroenterology and Hepatology Research

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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

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

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

Cited by 59 publications

References 8 publications

Comparison between positron emission tomography and computed tomography in the use of the assessment of esophageal carcinoma

Comparison between positron emission tomography and computed tomography in the use of the assessment of esophageal carcinoma

Risk factors for postoperative respiratory complications following esophageal cancer resection

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

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