A Risk Model for Esophagectomy Using Data of 5354 Patients Included in a Japanese Nationwide Web-Based Database

Takeuchi, Hiroya; Matsubara, Hiroaki; Gotoh, Mitsukazu; Kitagawa, Yuko; Baba, Hideo; Kimura, Wataru; Tomita, Naohiro; Nakagoe, Tohru; Shimada, Mitsuo; Sugihara, Kenichi; Mori, Masaki

doi:10.1097/sla.0000000000000644

Cited by 473 publications

(323 citation statements)

References 33 publications

Supporting

Mentioning

306

Contrasting

Unclassified

Order By: Relevance

“…Therefore, the oncological benefit of reducing postoperative inflammation in esophageal cancer should be investigated 27. Based on risk stratification for esophagectomy using a Japanese nationwide database, Takeuchi et al 34. observed that the 30‐day and operative mortality rates were lower than those in previously published reports.…”

Section: Resultsmentioning

confidence: 99%

“…All eligible studies reported adjusted hazard ratios obtained using multivariate analysis; the overall hazard ratio was 1.59 (95% CI, 1.13–2.24), with a statistically significant heterogeneity ( P < 0.0001). In each study, postoperative complications were defined by a Clavien‐Dindo grade higher than II,34, 35, 36, 37 which was observed in 10.3–14.5% of the studied patients. There were no apparent differences between the incidences of postoperative complications among large‐volume institutions in Japan.…”

Section: Resultsmentioning

confidence: 99%

See 1 more Smart Citation

Does postoperative morbidity worsen the oncological outcome after radical surgery for gastrointestinal cancers? A systematic review of the literature

Shimada

Fukagawa

Haga

et al. 2017

Annals of Gastroent Surgery

View full text Add to dashboard Cite

PurposeThe impact of postoperative complications on survival after radical surgery for esophageal, gastric, and colorectal cancers remains controversial. We conducted a systematic review of recent publications to examine the effect of postoperative complications on oncological outcome.MethodsA literature search of PubMed/MEDLINE was performed using the keywords “esophageal cancer,” “gastric cancer,” and “colorectal cancer,” obtaining 27 reports published online up until the end of April 2016. Articles focusing on (i) postoperative morbidity and oncological outcome; and (ii) body mass index (BMI), postoperative morbidity, and oncological outcome, were selected. Univariate and multivariate analyses (Cox proportional hazards model) were performed.ResultsPatients with postoperative complications had significantly poorer long‐term survival than those without complications. Complications were associated with impaired oncological outcomes. The hazard ratios for overall survival were 1.67 (95% confidence interval [CI], 1.31‐2.12), 1.59 (95% CI, 1.13‐2.24), and 1.55 (95% CI, 1.28‐1.87) in esophageal, gastric, and colorectal cancers, respectively. High BMI was associated with postoperative morbidity rate but not with poor oncological outcome. Low BMI was significantly associated with inferior oncological outcome.ConclusionsComplications after radical surgery for esophageal, gastric, and colorectal cancers are associated with patient prognosis. Avoiding such complications might improve the outcomes.

show abstract

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Does postoperative morbidity worsen the oncological outcome after radical surgery for gastrointestinal cancers? A systematic review of the literature

Shimada

Fukagawa

Haga

et al. 2017

Annals of Gastroent Surgery

View full text Add to dashboard Cite

show abstract

“…However, the operation time of minimally invasive technique is significantly longer than that of open procedure, and mortality is not significantly different in two procedures. In Japanese nationwide study, the minimally invasive esophagectomy related longer operation time and less blood loss [22]. However, incidence of anastomotic leakage and reoperation rate within 30 days were significantly higher in the minimally invasive esophagectomy than in the open esophagectomy.…”

Section: Discussionmentioning

confidence: 93%

Short Term Operative Outcomes of Laparoscopic Gastric Mobilization in Esophagectomy for Esophageal Cancer: Comparison with Hand Assisted Technique

Takemura¹,

Takii²,

Kaibe³

et al. 2016

View full text Add to dashboard Cite

Objective: This study evaluated the safety and operative utilities of the laparoscopic gastric mobilization compared with hand-assisted laparoscopic gastric mobilization. Patients and Methods: From April 2010 to November 2015, 125 patients with esophageal cancer have been performed laparoscopic mobilization; 33 under hand-assisted laparoscopic gastric mobilization (HLG group) and 92 under laparoscopic gastric mobilization without hand-assisted technique (LG group). Preoperative data and surgical outcomes of 2 groups were compared. Results: Preoperative data were not significantly different except for BMI. Operation time in abdominal procedure of LG group is significantly longer than HLG group (P < 0.0001). Otherwise, the blood loss and number of dissected nodes of abdominal procedure was not significantly different in two groups. The perioperative blood transfusions were needed in 7 cases (21.2%) in HLG group and 25 (27.1%) in LG group. The postoperative complications and mortality within 30 days after surgery were not significantly different in two groups. The length of hospital stay was 29 days in HLG group and 31 days in HG group, respectively. Conclusions: Our results suggested that laparoscopic gastric mobilization was safe technique and the short-term operative outcomes were comparable with that of hand-assisted laparoscopic mobilization.

show abstract

“…The balance between the benefits (quality of local control) and disadvantages (postoperative morbidity) of each procedure is of importance on the basis of the aforementioned results. Interestingly, the minimally invasive approach using thoracoscopy was not associated with reduced pulmonary complications as compared with conventional transthoracic esophagectomy according to the Japanese nationwide database (14). Therefore, the TH approach itself appears to be beneficial in terms of reducing pulmonary complications, and minimally invasive TH esophagectomy is likely to present future challenges in managing AEG patients.…”

Section: Commentarymentioning

confidence: 99%

Is the transthoracic approach no longer a viable option for Siewert type II esophagogastric junction carcinoma?

Yamashita

Seto

2016

Transl. Gastroenterol. Hepatol.

View full text Add to dashboard Cite

A Risk Model for Esophagectomy Using Data of 5354 Patients Included in a Japanese Nationwide Web-Based Database

Cited by 473 publications

References 33 publications

Does postoperative morbidity worsen the oncological outcome after radical surgery for gastrointestinal cancers? A systematic review of the literature

Does postoperative morbidity worsen the oncological outcome after radical surgery for gastrointestinal cancers? A systematic review of the literature

Short Term Operative Outcomes of Laparoscopic Gastric Mobilization in Esophagectomy for Esophageal Cancer: Comparison with Hand Assisted Technique

Is the transthoracic approach no longer a viable option for Siewert type II esophagogastric junction carcinoma?

Contact Info

Product

Resources

About