Reoperative Surgery After Minimally Invasive Ivor Lewis Esophagectomy.
Reoperative Surgery After Minimally Invasive Ivor Lewis Esophagectomy.
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DOI：
10.1097/sle.0000000000000996
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发表时间：
2021-09-09
期刊：
影响因子：
--
通讯作者：
Awad ZT
中科院分区：
文献类型：
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作者：
Pather K;Ghannam AD;Hacker S;Guerrier C;Mobley EM;Esma R;Awad ZT
The aim of this study is to identify factors influencing reoperations following minimally invasive Ivor Lewis esophagectomy and associated mortality and hospital costs. Between 2013 and 2018, 125 patients were retrospectively analyzed. Outcomes included reoperations, mortality, and hospital costs. Multivariable logistic regression analyses determined factors associated with reoperations. In-hospital reoperations (n = 10) were associated with inhospital mortality (n = 3, P < 0.01), higher hospital costs (P < 0.01), and longer hospital stay (P < 0.01). Conversely, reoperations after discharge were not associated with mortality. By multivariable analysis, baseline cardiovascular (P = 0.02) and chronic kidney disease (P = 0.01) were associated with reoperations. However, anastomotic leaks were not associated with reoperations nor mortality. The majority of reoperations occur within 30 days often during index hospitalization. Reoperations were associated with increased in-hospital mortality and hospital costs. Notably, anastomotic leaks did not influence reoperations nor mortality. Efforts to optimize patient baseline comorbidities should be emphasized to minimize reoperations following minimally invasive Ivor Lewis esophagectomy.
