Abstract
To find out if strict assessment of organ function preoperatively predicted morbidity and mortality in patients being operated on for oesophageal carcinoma. Retrospective study. 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 thoracoabdominal approach in 173, and transhiatal resection in 5 with either poor pulmonary reserve or early lesions. 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.
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