Comparison of influence of esophageal carcinoma operations on pulmonary function.
OBJECTIVE
To study the change of pulmonary function after three kinds of esophageal carcinoma operations.


METHODS
Esophageal carcinoma operations were performed on 60 consecutive patients, including 20 cases of supra-aortic gastro-esophageal anastomosis, 20 cases of sub-aortic gastro-esophageal anastomosis and 20 cases of apico-thoracic retro-aortic gastro-esophageal anastomosis. Lung function was checked for every patient 3 days before the operation and 3, 6, 12 months after the operation.


RESULTS
VC%, FEV1% and MVV% are significantly lower in supra-aortic anastomosis group than in sub-aortic anastomosis group after the operation (P < 0.05). VC%, FEV1%, and MVV% are significantly lower in supra-aortic anastomosis group than in apico-thoracic retro-aortic anastomosis group after the operation (P<0.05). VC%, FEV1% and MVV% are not significantly different between apico-thoracic retro-aortic anastomosis group and sub-aortic anastomosis group after the operation (P > 0.05).


CONCLUSIONS
Supra-aortic anastomosis has more negative influence on the post-operative pulmonary function than apico-thoracic retro-aortic anastomosis and sub-aortic anastomosis do.
Hu
Jian
J
Department of Thoracic and Cardiovascular Surgery, First Hospital, Zhejiang University, No 79,Qingchun Road, Hangzhou 310003, China. hjsl@mail.hz.zj.cn
Li
Renyuan
R
Sun
Li
L
Ni
Yiming
Y
D000328:Adult; D000368:Aged; D000714:Anastomosis, Surgical / Q000379:methods; D004938:Esophageal Neoplasms / Q000503:physiopathology / Q000601:surgery*; D004947:Esophagus / Q000601:surgery; D005260:Female; D005541:Forced Expiratory Volume; D006801:Humans; D008168:Lung / Q000503:physiopathology*; D008176:Lung Volume Measurements; D008297:Male; D008875:Middle Aged; D011184:Postoperative Period; D013270:Stomach / Q000601:surgery; D014797:Vital Capacity