Correlation of pre-operative coexistence of organ dysfunction with overall survival of patients with squamous cell carcinoma of the thoracic esophagus.
Coexistence of organ dysfunction has been regarded as a risk factor in the surgical treatment of digestive diseases. The aim of this study was to investigate the correlation between coexistence of organ dysfunction and post-operative outcome in patients with thoracic esophageal squamous cell carcinoma (SCC). One hundred and fifty-eight patients with SCC of the thoracic esophagus, who had been surgically treated were examined, including 37 cases associated with organ dysfunction. The proportion of post-operative complication in patients with organ dysfunction (32.4%, 12/37) was significantly higher than that in patients without organ dysfunction (15.7%, 19/121; p=0.025). The overall survival of patients with organ dysfunction was significantly more unfavorable than that of patients without organ dysfunction (p=0.031), and multivariate analysis demonstrated that coexistence of organ dysfunction (p=0.004), depth of tumors (p=0.012), lymph node metastasis (p=0.0003), blood vessel invasion (p=0.008) and the incidence of post-operative complications (p=0.026) were factors independently associated with worse overall survival of the patients with SCC of thoracic esophagus. Coexistence of organ dysfunction was found to be an independent indicator of worse overall survival in patients with SCC of the thoracic esophagus.
Department of Surgery, National Fukuoka Higashi Hospital, 1-1-1 Chidori, Koga 811-3195, Japan. nozoe@fukuokae2.hosp.go.jp
Tadahiro
T
Nozoe
Takahiro
T
Ezaki
Ikuo
I
Takahashi
Hideo
H
Baba
Yoshihiko
Y
Maehara
D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D002294:Carcinoma, Squamous Cell / Q000401:mortality* / Q000473:pathology / Q000601:surgery*; D004938:Esophageal Neoplasms / Q000401:mortality* / Q000473:pathology / Q000601:surgery*; D004947:Esophagus / Q000473:pathology / Q000502:physiology; D005260:Female; D006801:Humans; D008207:Lymphatic Metastasis; D008297:Male; D008875:Middle Aged; D015999:Multivariate Analysis; D016017:Odds Ratio; D011183:Postoperative Complications; D013997:Time Factors; D016896:Treatment Outcome