E. Martinperez et al., ESOPHAGEAL-CARCINOMA - FACTORS INFLUENCIN G MORBIDITY AND MORTALITY AFTER ESOPHAGECTOMY, Revista espanola de enfermedades digestivas, 85(4), 1994, pp. 239-242
Objetive: To identify which perioperative risk factors are associated
to postoperative morbidity and mortality in patients with carcinoma of
the esophagus. Design: We analyzed 8 perioperative risk factors: age,
preoperative hospital stay, intraoperative blood transfusions, tumor
stage, histology, grade of tumor differentiation, prior respiratory di
sease, surgical treatment. Patients: Forty-six patients with esophagea
l carcinoma who underwent surgical resection. Results: 1) Morbidity: T
here was statistical significance between the increase in postoperativ
e morbidity and age > 75 years (p < 0.001), advanced stage of disease
(p < 0.001), preoperative hospital stay higher than 20 days (p < 0.05)
and severe respiratory disease (p < 0.05). 2) Mortality: There was a
statistically significant increase in postoperative mortality in patie
nts with preoperative hospital stay higher than 20 days and in patient
s > 75 years. Conclusions: The incidence of postoperative morbidity an
d mortality in esophageal cancer varies according to age, prior respir
atory disease, tumor stage and preoperative hospital stay.