Naslov
Risk factors analysis and their prognostic significance for development of severe complications and mortality in perioperative period of patients subjected to radical esophageal surgery

Autori
Karadža, Vjekoslav ; Krčmar, Tomislav ; Špiček Macan, Jasna ; Kogler, Jana ; Majerić-Kogler, Višnja

Izvornik
Neurologia Croatica (0353-8842) 53 (2004), S2; 154-155

Vrsta, podvrsta i kategorija rada
Radovi u časopisima, kongresno priopcenje, znanstveni

Ključne riječi
esophageal surgery ; risk factors ; complications ; perioperative

Sažetak
Radical esophageal surgery is associated with a considerable number of perioperative complications and high mortality of thus treated patients. The aim of this study was to determine risk factors for the development of perioperative complications, abd to assess their prognostic significance. From June 2000 to April 2004, 71 patients underwent radical esophageal surgery at the Department of Thoracic Surgery, Jordanovac University Hospital for Lung Diseases. 65 patients (91, 5%) had esophageal cancer. We analyzed preoperative data (ASA status, comorbidity, biochemical findings, HB, WBC, PT, APTT, fibrinogen, FEV1, vital lung capacity, diffusion capacity for CO), indicators of surgical severity (type of surgical procedure, duration of surgery, hemodynamic instability during the surgery, fluid replacement, transfusion, CO, gas analyses, VO2, O2 extraction, SVR, diuresis), indicators of postoperative treatment (infused fluid volume in the first three days, complications, length of stay in the Division of Intensive Care, return to the Division of Intensive Care from the Department of Surgery, methods of complication treatment), and mortality in the perioperative period. In perioperative period methods of invasive monitoring were used, including invasive measurement of arterial pressure and measurement of hemodynamics with Swan Ganz catheter. The patients received epidural catheter for analgesia. In the immediate postoperative period the patients were for a tme in mechanical ventilatory support. Mortality in the perioperative period ammounted to 14, 1%. 16, 9% of patients suffered of anastomosis, 32, 4% pulmonary complications, and 0, 7% cardiac complications. 4, 2% of patients had other abdominal complications. 45, 1% of patients developed no significant complications in perioperative period.

Izvorni jezik
Engleski

Znanstvena područja
Kliničke medicinske znanosti

POVEZANOST RADA