Journal ArticleDOI
International consensus on standardization of data collection for complications associated with esophagectomy: Esophagectomy Complications Consensus Group (ECCG)
Donald E. Low,Derek Alderson,Ivan Cecconello,Andrew C. Chang,Gail Darling,Xavier Benoit D’Journo,S. Michael Griffin,Arnulf H. Hölscher,Wayne L. Hofstetter,Blair A. Jobe,Yuko Kitagawa,John C. Kucharczuk,Simon Law,Toni Lerut,Nick Maynard,M. Pera,Jeffrey H. Peters,C S Pramesh,John V. Reynolds,B. Mark Smithers,J. Jan B. van Lanschot +20 more
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TLDR
The proposed system for defining and recording perioperative complications associated with esophagectomy provides an infrastructure to standardize international data collection and facilitate future comparative studies and quality improvement projects.Abstract:
Introduction: Perioperative complications influence long- and short-term outcomes after esophagectomy. The absence of a standardized system for defining and recording complications and quality measures after esophageal resection has meant that there is wide variation in evaluating their impact on these outcomes. Methods: The Esophageal Complications Consensus Group comprised 21 high-volume esophageal surgeons from 14 countries, supported by all the major thoracic and upper gastrointestinal professional societies. Delphi surveys and group meetings were used to achieve a consensus on standardized methods for defining complications and quality measures that could be collected in institutional databases and national audits. Results: A standardized list of complications was created to provide a template for recording individual complications associated with esophagectomy. Where possible, these were linked to preexisting international definitions. A Delphi survey facilitated production of specific definitions for anastomotic leak, conduit necrosis, chyle leak, and recurrent nerve palsy. An additional Delphi survey documented consensus regarding critical quality parameters recommended for routine inclusion in databases. These quality parameters were documentation on mortality, comorbidities, completeness of data collection, blood transfusion, grading of complication severity, changes in level of care, discharge location, and readmission rates. Conclusions: The proposed system for defining and recording perioperative complications associated with esophagectomy provides an infrastructure to standardize international data collection and facilitate future comparative studies and quality improvement projects.read more
Citations
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Journal ArticleDOI
The Complexity of Defining Postoperative Pneumonia following Esophageal Cancer Surgery: A Spectrum of Lung Injury rather than a simple Infective complication?
Nicola Raftery,Conor F. Murphy,Claire L. Donohoe,Brian O'Connell,Sinead King,Narayanasamy Ravi,John V. Reynolds +6 more
TL;DR: Pneumonia as currently defined appears to represent a spectrum of etiology and severity in the post-esophagectomy patient, with infection per se rarely proven, suggesting a need to re-evaluate its definition, severity classification, and preventive and treatment strategies.
Journal ArticleDOI
Can We Increase the Resection Rate by Minimally Invasive Approach? Experience from 100 Minimally Invasive Esophagectomies.
TL;DR: By operating patients unsuitable for open approach with MIE, the resection rate increased 11.1%.
Journal ArticleDOI
Robot-assisted and conventional minimally invasive esophagectomy are associated with better postoperative results compared to hybrid and open transthoracic esophagectomy.
Pieter C. van der Sluis,Bejamin Babic,Eren Uzun,Evangelos Tagkalos,Felix Berlth,Edin Hadzijusufovic,Hauke Lang,Ines Gockel,Richard van Hillegersberg,Peter P. Grimminger +9 more
TL;DR: In this paper, the authors compared four different esophagectomy approaches regarding postoperative complications and short term oncologic outcomes, i.e., pulmonary, cardiac and wound complication rate as well as a shorter hospital stay compared to open or hybrid approach (OE, HE).
Journal ArticleDOI
The comparisons of neoadjuvant chemoimmunotherapy versus chemoradiotherapy for esophageal squamous cancer.
Xin Xiao,Yu-Shang Yang,Xiaoxi Zeng,Qi-Xin Shang,Siyuan Luan,Jianfeng Zhou,Xiaokun Li,Pinhao Fang,Yang Hu,Long-Qi Chen,Yong Yuan +10 more
TL;DR: It was found that neoadjuvant chemoimmunotherapy compared with neoadedjuvant chemoradiotherapy was associated with lower pneumonia rate and was safe and feasible for locally advanced oesophageal squamous cancer.
Journal ArticleDOI
Long-Term Outcomes of Induction Chemotherapy Followed by Chemo-Radiotherapy as Intensive Neoadjuvant Protocol in Patients with Esophageal Cancer
N. Simoni,M. Pavarana,R. Micera,Jacopo Weindelmayer,Valentina Mengardo,G. Rossi,Daniela Cenzi,Anna Tomezzoli,Paola Del Bianco,Simone Giacopuzzi,Giovanni de Manzoni,Renzo Mazzarotto +11 more
TL;DR: The nCRT protocol achieved considerable long-term survival and pCR rates also in “real life” patients, and contribute to better define the role of an intensive neoadjuvant approach as a reliable therapy for the treatment of locally advanced esophageal cancer.
References
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