| Autor: |
Isabel Bartella, Stefanie Brunner, Lars M. Schiffmann, Petra Schiller, Thomas Schmidt, Hans Fuchs, Seung Chon, Christiane Josephine Bruns, Wolfgang Schröder |
| Rok vydání: |
2023 |
| DOI: |
10.21203/rs.3.rs-2827324/v1 |
| Popis: |
Purpose Anastomotic leakage (AL) remains the leading surgical complication following Ivor-Lewis (IL) esophagectomy. Different treatment options of AL exist but outcome is difficult to compare due to a lack of generally accepted classifications. This study was conducted to analyze the clinical significance of a recently proposed classification based on the management of AL.Methods A cohort of 954 consecutive patients undergoing hybrid IL esophagectomy (laparoscopy/thoracotomy) was analysed. AL was defined according to the ,Esophagus Complication Consensus Group’ (ECCG) criteria depending on its treatment: conservative (AL type I), interventional endoscopic (AL type II), and surgical (AL type III). Primary outcome was single or multiple organ failure (Clavien-Dindo IVA/B) associated with AL.Results Overall morbidity was 63.0% and 8.8% (84/954 patients) developed an AL postoperatively. Three patients (3.5%) had an AL type I, 57 patients (67.9%) an AL type II and 24 patients (28.6%) an AL type III. For patients managed surgically, AL was diagnosed significantly earlier (median days: AL type III: 2 vs AL type II: 6, p Conclusion The proposed ECCG classification is simply to apply and discriminates the post-treatment severity of AL but does not aid to implement a treatment algorithm. |
| Databáze: |
OpenAIRE |
| Externí odkaz: |
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