[Quality of life of patients after esophagogastrostomy combined with lung volume reduction surgery].
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.
Tan
Qun-you
QY
Department of Thoracic Surgery, Daping Hospital & Institute of Surgery, the Third Military Medical University, Chongqing 400042, China.
Wang
Ru-wen
RW
Jiang
Yao-guang
YG
Gong
Tai-qian
TQ
Zhou
Jing-hai
JH
Zhao
Yun-ping
YP
Ma
Zheng
Z
Lin
Yi-dan
YD
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*