1. Complicaciones postoperatorias en esofagectomía por cáncer. Evaluación de 215 casos según definiciones del grupo de consenso internacional.
- Author
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Norero M., Enrique Eduardo, V., Marco Ceroni, Martínez B., Cristian, Mejía M., Ricardo, Muñoz C., Rodrigo, S., Constanza Godoy, V., Fernando Araos, González C., Paulina, Saldías C., Sergio, Véliz L., Marcelino, Marinkovic R., Lucía, L., Mario Caracc, and F., Alfonso Díaz
- Abstract
Introduction: Esophagectomy presents a high postoperative morbidity. However, the definitions used are variable. A multinational group (esophagectomy complications consensus group; ECCG) proposed standardized definitions. Aim: To evaluate postoperative complications in esophagectomy according to the definitions proposed by the ECCG. Materials and Method: We conducted a retrospective cohort study, based on a prospective database. Patients undergoing esophagectomy for cancer between 1996 and 2018 at one center were included. The definitions of postoperative complications according to the ECCG were applied. Results: We included 215 patients (64% men, age 67 [31-82] years). Sixty-four percent had some comorbidity. There was a predominance of squamous carcinoma with 68%. The most frequent tumor location was the lower third of the esophagus (48%). An open approach was used in 74% and minimally invasive in 26%. Total postoperative morbidity was 67%. The most frequent complications were respiratory complications, which reached 27%. The leakage of the esophagogastric anastomosis reached 25%, 24% were type II (did not require surgical reoperation). There was a vocal cord paresis in 7%, all were classified as type I (did not require specific therapy). A chylous fistula was presented in 2%, in 1% they were treated with parenteral nutrition (type II) and in 1% a reoperation was performed (type III). Conclusion: Esophagectomy is associated with a high morbidity. The main complications are respiratory and gastrointestinal. The use of consensus definitions allows standardization and grading of complications. [ABSTRACT FROM AUTHOR]
- Published
- 2020
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