title: [Quality of life of patients after esophagogastrostomy combined with lung volume reduction surgery].
abstract: OBJECTIVE
  To evaluate the effect of lung volume reduction surgery (LVRS) combined with esophagogastrostomy in thorax on quality of life of the patients with severe emphysema combined with esophageal or cardiac carcinoma.
  
  
  METHODS
  Eighteen patients suffering from esophageal or cardiac carcinomas and severe emphysema with severely impaired respiratory function and low quality of life underwent resection of carcinoma and esophagogastrostomy in thorax. And then, same side LVRS was performed using TLC75 stapler. All staple lines were buttressed with bovine pericardial strips. Quality of life was evaluated before operation and every 3 months up to one year postoperatively by using the Short-form 36 (SF-36) health questionnaire.
  
  
  RESULTS
  The volumes of resected pulmonary tissues, weighing (62.2 +/- 9.6) g, accounted for 25% - 30% of the total volume of the same side lung parenchyma. All the cases went through successfully the perioperative period without hospital mortality. Postoperative hospital stay averaged 19.7 +/- 4.8 days (15 to 23 days). All of the functions included in the SF-36 were improved (P < 0.01 or P < 0.05).
  
  
  CONCLUSIONS
  Esophagogastrostomy in thorax combined with LVRS significantly benefits the patients with severe emphysema and esophageal or cardiac carcinoma in terms of long-term quality of life.
authors.affiliation: Department of Thoracic Surgery, Daping Hospital & Institute of Surgery, the Third Military Medical University, Chongqing 400042, China.
authors.forename: Qun-you
authors.initials: QY
authors.lastname: Tan
authors.forename: Ru-wen
authors.initials: RW
authors.lastname: Wang
authors.forename: Yao-guang
authors.initials: YG
authors.lastname: Jiang
authors.forename: Tai-qian
authors.initials: TQ
authors.lastname: Gong
authors.forename: Jing-hai
authors.initials: JH
authors.lastname: Zhou
authors.forename: Yun-ping
authors.initials: YP
authors.lastname: Zhao
authors.forename: Zheng
authors.initials: Z
authors.lastname: Ma
authors.forename: Yi-dan
authors.initials: YD
authors.lastname: Lin
mesh_terms: D000328:Adult; D000714:Anastomosis, Surgical; D004938:Esophageal Neoplasms / Q000150:complications / Q000601:surgery*; D004944:Esophagoplasty; D004947:Esophagus / Q000601:surgery; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D011013:Pneumonectomy; D011656:Pulmonary Emphysema / Q000150:complications / Q000601:surgery*; D011788:Quality of Life; D013270:Stomach / Q000601:surgery; D013274:Stomach Neoplasms / Q000150:complications / Q000601:surgery*