지원사업
학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
커뮤니티
연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 저널정보
- 대한외과학회 Annals of Surgical Treatment and Research Journal of the Korean Surgical Society Vol.84 No.1
- 발행연도
- 2013.1
- 수록면
- 18 - 26 (9page)
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초록· 키워드
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Purpose: We evaluated the predictive value of preoperative lung spirometry test for postoperative morbidity and the nature of complications related to an abnormal pulmonary function after gastric cancer surgery. Methods: Between February 2009 and March 2010, 538 gastric cancer patients who underwent laparoscopic (n = 247) and open gastrectomy (n = 291) were divided into the normal (forced expiratory volume in 1 second [FEV1]/forced vital capacity [FVC] ≥ 0.7, n = 441) and abnormal pulmonary function group (FEV1/FVC 〈 0.7, n = 97), according to the preoperative lung spirometry test. The predictive value of lung spirometry for postoperative morbidity was evaluated using the univariate and multivariate analysis. Results: After surgery, the abnormal pulmonary function group showed a significantly increased incidence of local (29.9% vs. 18.1%, P = 0.009) and systemic complications (8.2% vs. 2.0%, P = 0.005) than the normal group. Of local complications, anastomosis leakage and wound complication were found to be more common in the abnormal pulmonary function group. In the univariate and multivariate analysis, an abnormal pulmonary function was an independent predictor for postoperative local complication (odds ratio, 1.75; 95% confidence interval, 1.03 to 2.97) after adjusted by old age, total gastrectomy, open surgery, and tumor-node-metastasis stage. Meanwhile, an old age and a history of pulmonary disease were independent predictors for systemic complication. Conclusion: Preoperative lung spirometry is a simple and useful means to predict postoperative morbidity after gastric cancer surgery. In view of its simplicity and low cost, we recommend adding preoperative lung spirometry test to assess the operative risk and aid in proper perioperative treatment planning.
목차
INTRODUCTION
METHODS
RESULTS
DISCUSSION
CONFLICTS OF INTEREST
REFERENCES
참고문헌 (18)
참고문헌 신청
1. [학술지(정기간행물)] - Maehara Y / 1996 / Age-related characteristics of gastric carcinoma in young and elderly patients / Cancer 77 : 1774 ~ 1780
2. [학술지(정기간행물)] - Neragi-Miandoab S / 2010 / Preoperative evaluation and a risk assessment in patients undergoing abdominal surgery / Surg Today 40 : 108 ~ 113
3. [학술지(정기간행물)] - Kanat F / 2007 / Risk factors for postoperative pulmonary complications in upper abdominal surgery / ANZ J Surg 77 : 135 ~ 141
4. [학술지(정기간행물)] - Spurzem JR / 2005 / Pathogenesis of COPD / Semin Respir Crit Care Med 26 : 142 ~ 153
5. [학술지(정기간행물)] - Qaseem A / 2006 / Risk assessment for and strategies to reduce perioperative pulmonary complications for patients undergoing noncardiothoracic surgery: a guideline from the American College of Physicians / Ann Intern Med 144 : 575 ~ 580
2. [학술지(정기간행물)] - Neragi-Miandoab S / 2010 / Preoperative evaluation and a risk assessment in patients undergoing abdominal surgery / Surg Today 40 : 108 ~ 113
3. [학술지(정기간행물)] - Kanat F / 2007 / Risk factors for postoperative pulmonary complications in upper abdominal surgery / ANZ J Surg 77 : 135 ~ 141
4. [학술지(정기간행물)] - Spurzem JR / 2005 / Pathogenesis of COPD / Semin Respir Crit Care Med 26 : 142 ~ 153
5. [학술지(정기간행물)] - Qaseem A / 2006 / Risk assessment for and strategies to reduce perioperative pulmonary complications for patients undergoing noncardiothoracic surgery: a guideline from the American College of Physicians / Ann Intern Med 144 : 575 ~ 580
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UCI(KEPA) : I410-ECN-0101-2014-514-000359655