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Short-Term Outcomes of Minimally Invasive Esophagectomy for Carcinoma In Patients with Liver Cirrhosis
- Source :
- Journal of Laparoendoscopic & Advanced Surgical Techniques. 27:592-596
- Publication Year :
- 2017
- Publisher :
- Mary Ann Liebert Inc, 2017.
-
Abstract
- Open esophagectomy is a high-risk procedure in patients with liver cirrhosis. With the advent of minimally invasive surgical techniques, the overall morbidity and mortality rates of esophagectomy have decreased. The aim of this study was to describe short-term outcomes of minimally invasive esophagectomy in patients with proven liver cirrhosis.Retrospective observational cohort study. Demographics, preoperative clinical characteristics, and outcomes of patients undergoing minimally invasive esophagectomy for carcinoma were analyzed. Patients with concomitant liver cirrhosis were compared to patients without liver cirrhosis undergoing similar surgical procedures. In addition, variables possibly associated with postoperative morbidity and mortality in patients with cirrhosis were investigated.Out of 443 patients undergoing minimally invasive esophagectomy, 18 (4.1%) had concomitant liver cirrhosis. Demographics and preoperative clinical variables were similar in the 2 patient groups. While the overall morbidity rate was similar, the 90-day mortality rate was significantly higher in patients with liver cirrhosis (P = .023). There was a significantly higher rate of sepsis and anastomotic, respiratory, and hemorrhagic complications in patients with liver cirrhosis who died in the postoperative period.Minimally invasive esophagectomy is feasible in patients with liver cirrhosis. Future strategies should focus on total minimally invasive procedures and early recognition of surgical complications.
- Subjects :
- Liver Cirrhosis
Male
medicine.medical_specialty
Cirrhosis
Esophageal Neoplasms
medicine.medical_treatment
Adenocarcinoma
Gastroenterology
Cohort Studies
03 medical and health sciences
0302 clinical medicine
Internal medicine
medicine
Carcinoma
Humans
Minimally Invasive Surgical Procedures
Retrospective Studies
business.industry
Mortality rate
Retrospective cohort study
Middle Aged
medicine.disease
Survival Analysis
Surgery
Esophagectomy
Treatment Outcome
Italy
030220 oncology & carcinogenesis
Concomitant
Carcinoma, Squamous Cell
Female
030211 gastroenterology & hepatology
business
Cohort study
Subjects
Details
- ISSN :
- 15579034 and 10926429
- Volume :
- 27
- Database :
- OpenAIRE
- Journal :
- Journal of Laparoendoscopic & Advanced Surgical Techniques
- Accession number :
- edsair.doi.dedup.....d396c379ee98bda2501fa1c56e1396a3