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
Prevention of Leaks and Strictures of Esophago-Organ Anastomosis in Esophagoplasty
Shaprynskyi Vo,Shaprynskyi Yv +1 more
TL;DR: This work presents a meta-analysis of 125 patients treated with a single excision for central giant cell granuloma at the National Pirogov Memorial Medical University in Vinnytsia, Ukraine over a 12-month period and shows clear patterns of decline in the number of patients treated and the severity of their injuries.
Journal ArticleDOI
Role of self-expanding stents in the treatment of intrathoracic dehiscence after Ivor Lewis esophagectomy.
David Ruiz de Angulo,María Ángeles Ortiz,Vicente Munitiz,Luisa F. Martínez de Haro,Fernando Alberca,Andrés Serrano,Juan Egea,Pascual Parrilla +7 more
TL;DR: Stents are safe and effective devices that did not associate mortality in the series and should be part of the usual therapeutic arsenal for the resolution of most suture dehiscences after Ivor Lewis esophagectomy.
Journal ArticleDOI
Impacts of complications after esophageal cancer surgery on health-related quality of life and nutritional status
TL;DR: The long-term impacts of post-operative complications, especially pulmonary complications and anastomotic leakage, on health-related quality of life (HRQoL), nutritional status and body composition remain to be fully addressed in patients undergoing esophageal cancer surgery as discussed by the authors .
Journal ArticleDOI
Laparoscopic versus laparotomic gastric pull-up following thoracoscopic esophagectomy: A propensity score-matched analysis.
TL;DR: In this paper, the authors retrospectively reviewed the clinical and imaging records of 428 patients who received McKeown esophagectomy with a thoracoscopic approach for cancer and found that laparoscopy (LS) following thoracoscopy can further improve outcomes compared with open laparotomy (OL) is unknown.
Journal ArticleDOI
Effect of pleural adhesions on short- and long-term outcomes after minimally invasive esophagectomy: a propensity score matching analysis
TL;DR: The presence of pleural adhesions predicted an increased operation time, length of stay, postoperative pneumonia, and hydrothorax requiring drainage of EC patients undergoing McKeown MIE, but did not exert unfavourable effect on long-term survival.
References
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Journal ArticleDOI
Classification of surgical complications: a new proposal with evaluation in a cohort of 6336 patients and results of a survey.
TL;DR: The new complication classification appears reliable and may represent a compelling tool for quality assessment in surgery in all parts of the world.
Journal ArticleDOI
Definitions for Sepsis and Organ Failure and Guidelines for the Use of Innovative Therapies in Sepsis
Roger C. Bone,Robert A. Balk,F. B. Cerra,R. P. Dellinger,A. M. Fein,William A. Knaus,Roland M. H. Schein,W. J. Sibbald +7 more
TL;DR: An American College of Chest Physicians/Society of Critical Care Medicine Consensus Conference was held in Northbrook in August 1991 with the goal of agreeing on a set of definitions that could be applied to patients with sepsis and its sequelae as mentioned in this paper.
Journal ArticleDOI
Toxicity and response criteria of the Eastern Cooperative Oncology Group
Martin M. Oken,Richard H. Creech,Douglass C. Tormey,John Horton,Thomas E. Davis,Eleanor T. McFadden,Paul P. Carbone +6 more
TL;DR: The Eastern Cooperative Oncology Group criteria for toxicity and response are presented to facilitate future reference and to encourage further standardization among those conducting clinical trials.
Journal ArticleDOI
Acute respiratory distress syndrome: the Berlin Definition.
Ards Definition Task Force,V. Marco Ranieri,Gordon D. Rubenfeld,B. Taylor Thompson,Niall D. Ferguson,Ellen Caldwell,Eddy Fan,Luigi Camporota,Luigi Camporota,Arthur S. Slutsky +9 more
TL;DR: The updated and revised Berlin Definition for ARDS addresses a number of the limitations of the AECC definition and may serve as a model to create more accurate, evidence-based, critical illness syndrome definitions and to better inform clinical care, research, and health services planning.
Journal ArticleDOI
Determinants of Long-Term Survival After Major Surgery and the Adverse Effect of Postoperative Complications
Shukri F. Khuri,Shukri F. Khuri,William G. Henderson,Ralph G. DePalma,Cecilia Mosca,Nancy A. Healey,Dharam J. Kumbhani,John L. Cameron,Jonathan L. Meakins,J. Hans Jeekel,Murray F. Brennan,Bruce H. Barraclough +11 more
TL;DR: The occurrence of a 30-day postoperative complication is more important than preoperative patient risk and intraoperative factors in determining the survival after major surgery in the VA.
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