European journal of surgical oncology : the journal of the European Society of Surgical Oncology and the British Association of Surgical Oncology · 2026
Clinical significance of functional tooth units in predicting pulmonary complications after subtotal esophagectomy for esophageal cancer.
СтатьяНазвание и аннотация: Перевод пока не подготовлен
Обработка статьи · этапы, ошибки и управление
Загрузка состояния…
Ошибки и ограничения
История · было → стало
Состояние обновляется каждые 5 секунд, пока блок открыт. Процент показывается только там, где известен объём работы. Пауза останавливает продолжение этапа; текущий запрос к источнику может завершиться.
Ishihara Kei, Okuno Keisuke, Mikami Risako, Shigeno Takashi, Ogo Taichi, Tanioka Toshiro, Kawada Kenro, Fujiwara Hisashi, Tokunaga Masanori, Matsuo Koichiro, Kinugasa Yusuke
Аннотация
BACKGROUND: Postoperative pulmonary complications (PPCs) remain a major cause of morbidity after esophagectomy despite advances in perioperative management, including routine perioperative oral care. Functional tooth units (FTU), a measure of occlusal support, reflect oral functional status related to mastication and swallowing. We investigated the association between preoperative FTU and PPCs after subtotal esophagectomy.
METHODS: We retrospectively analyzed 135 patients who underwent subtotal esophagectomy for esophageal cancer at the Institute of Science Tokyo Hospital, between 2022 and 2025. FTU score was assessed preoperatively via dental examination, and patients were classified into the low-FTU (<7, n = 65) and high-FTU (≥7, n = 70) groups. The incidence of PPCs within 30 postoperative days was compared between the groups.
RESULTS: The median age was significantly higher in the low-FTU group than in the high-FTU group (73 vs. 64 years, P < 0.001). PPCs occurred in 19 of 135 patients (14.1%), and the incidence was significantly higher in the low-FTU group than in the high-FTU group (24.6% vs. 4.3%, P = 0.001). The postoperative hospital stay was longer in the low-FTU group (16 vs. 14 days, P = 0.009). Low FTU was significantly associated with PPCs in multivariable logistic regression analysis (odds ratio, 6.54; 95% confidence interval, 1.76-24.38; P = 0.005).
CONCLUSIONS: FTU was significantly associated with PPCs after esophagectomy for esophageal cancer, suggesting its potential as a simple and clinically useful predictor of oral function for perioperative risk stratification of pulmonary complications.
METHODS: We retrospectively analyzed 135 patients who underwent subtotal esophagectomy for esophageal cancer at the Institute of Science Tokyo Hospital, between 2022 and 2025. FTU score was assessed preoperatively via dental examination, and patients were classified into the low-FTU (<7, n = 65) and high-FTU (≥7, n = 70) groups. The incidence of PPCs within 30 postoperative days was compared between the groups.
RESULTS: The median age was significantly higher in the low-FTU group than in the high-FTU group (73 vs. 64 years, P < 0.001). PPCs occurred in 19 of 135 patients (14.1%), and the incidence was significantly higher in the low-FTU group than in the high-FTU group (24.6% vs. 4.3%, P = 0.001). The postoperative hospital stay was longer in the low-FTU group (16 vs. 14 days, P = 0.009). Low FTU was significantly associated with PPCs in multivariable logistic regression analysis (odds ratio, 6.54; 95% confidence interval, 1.76-24.38; P = 0.005).
CONCLUSIONS: FTU was significantly associated with PPCs after esophagectomy for esophageal cancer, suggesting its potential as a simple and clinically useful predictor of oral function for perioperative risk stratification of pulmonary complications.