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Eur J Cardiothorac Surg 2005;28:16-18
© 2005 Elsevier Science NL

Comparison of influence of esophageal carcinoma operations on pulmonary function

^a Department of Thoracic and Cardiovascular Surgery, First Hospital, Zhejiang University, No 79,Qingchun Road, Hangzhou 310003, China
^b School of Medical, Hangzhon Normal College, Hangzhou 310012, China

Received 16 December 2004; received in revised form 16 January 2005; accepted 20 January 2005.

^* Corresponding author. Tel.: +86 571 8723 6841. (Email: hjsl{at}mail.hz.zj.cn).

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.

Key Words: Esophageal carcinoma • Pulmonary function • Radical procedure