| Objective:To investigate the value of preoperative pulmonary function in predicting postoperative cardiopulmonary complications (PCC) and respiratory function following esophagectomy for esophageal carcinoma. To guide esophagectomy of esophageal carcinoma for reference purposes. Methods:The clinical data of 152 patients with esophageal carcinoma were collected, admitted to the department of thoracic surgery, Tumor Affiliated Hospital, Xinjiang Medical University from December 2007 to December 2009. Postoperative cardiopulmonary complications in 152 patients within 1 month of carcinoma resection was observed and researched the correlation of preoperative pulmonary function indexes Analyze the pulmonary function testing parameters synthetically, assessing the tolerance of esophagectomy and PCC. Results:PCC developed in 40 patients(26.32%). There was not a significant correlation with PPC in age. There were significant differences in pulmonary function parameters, such as FVC,FVC%pred,FEV1,MVV and MVV%pred between those without complications and those who experienced complications. Patients with preoperative FVC<2.00 L had 75% morbidity of PCC, patients with preoperative FVC<60%pred had 71.4% morbidity of PCC, patients with preoperative FEV1<2.00L had 87.5% morbidity of PCC, MVV<80 L had 62.5% morbidity of PCC, or MVV<80%pred had 58.3% morbidity of PCC. The results of Logistic regressive mode analysis showed high risk factors of postoperative cardiopulmonary complications, when FVC<2.00 L, FEV1<2.00L and MVV<80%pred. Conclusion:There were no significant differences in age between those who did and those who did not experience complications. Preoperative pulmonary function could assess tolerance and complication happening of esophagectomy for esophageal carcinoma, such as FVC,FEV1 and MVV%pred. when FVC<2.00 L, FEV1<2.00 L and MVV<80%pred, the rates of happening PCC were visibly increasing. |
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