Preoperative risk analysis and postoperative mortality of oesophagectomy for resectable oesophageal cancer

摘要: Background Postoperative mortality after oesophagectomy for oesophageal cancer depends largely on the preoperative physiological status of patient. Methods A composite scoring system to predict risk based objective parameters was developed a retrospective review patients operated and evaluated prospectively in two subsequent patient groups. Results An initial multivariate analysis 432 who had identified compromised general (P<0.001) poor cardiac (P<0.001), hepatic (P<0.05) respiratory function as independent predictors fatal postoperative course. Based relative associated with individual impaired organ functions, score established. prospective study 121 confirmed that this provides better identification high-risk than any parameters. Inclusion into process selection choice procedure resulted decrease rate from 9.4 per cent (52 553) 1.6 (four 252) (P<0.001). Conclusion The death can be assessed objectively before surgery quantified by score. This useful tool refining criteria resection or procedure.