دورية أكاديمية
Impact of Reconstruction Route on Postoperative Morbidity After Esophagectomy: Analysis of Esophagectomies in the Japanese National Clinical Database
| العنوان: | Impact of Reconstruction Route on Postoperative Morbidity After Esophagectomy: Analysis of Esophagectomies in the Japanese National Clinical Database |
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| المؤلفون: | Hirotoshi Kikuchi, Hideki Endo, Hiroyuki Yamamoto, Soji Ozawa, Hiroaki Miyata, Yoshihiro Kakeji, Hisahiro Matsubara, Yuichiro Doki, Yuko Kitagawa, Hiroya Takeuchi |
| المصدر: | Annals of Gastroenterological Surgery, Vol 6, Iss 1, Pp 46-53 (2022) |
| بيانات النشر: | Wiley, 2022. |
| سنة النشر: | 2022 |
| المجموعة: | LCC:Surgery LCC:Diseases of the digestive system. Gastroenterology |
| مصطلحات موضوعية: | anastomotic leak, national clinical database, pneumonia, posterior mediastinal route, retrosternal route, surgical site infection, Surgery, RD1-811, Diseases of the digestive system. Gastroenterology, RC799-869 |
| الوصف: | Abstract Background Esophagectomy followed by gastric conduit reconstruction is a standard surgical procedure for esophageal cancer. However, there is no evidence of the superiority or inferiority of the posterior mediastinal (PM) versus the retrosternal (RS) reconstruction route with regard to short‐term outcomes after esophagectomy. We aimed to elucidate whether the reconstruction route can affect the short‐term outcomes after esophagectomy followed by gastric conduit reconstruction. Methods We reviewed the clinical data of patients who underwent esophagectomy between 2016 and 2018 from the Japanese National Clinical Database. This study included 9786 patients who underwent gastric conduit reconstruction through the PM or RS route with cervical anastomosis. Results Of the 9786 patients analyzed, 3478 and 6308 underwent gastric conduit reconstruction thorough the PM and RS routes, respectively. The incidence of anastomotic leak and surgical site infection (SSI) was significantly lower in the PM group than in the RS group (11.7% vs 13.8%, P = .005 and 8.4% vs 14.9%, P |
| نوع الوثيقة: | article |
| وصف الملف: | electronic resource |
| اللغة: | English |
| تدمد: | 2475-0328 |
| Relation: | https://doaj.org/toc/2475-0328 |
| DOI: | 10.1002/ags3.12501 |
| URL الوصول: | https://doaj.org/article/071091e3737f4350a8f346b69db0df32 |
| رقم الأكسشن: | edsdoj.071091e3737f4350a8f346b69db0df32 |
| قاعدة البيانات: | Directory of Open Access Journals |
Full Text Finder | تدمد: | 24750328 |
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| DOI: | 10.1002/ags3.12501 |