ArticleAnnals of surgical oncology2017
The Surgical Apgar Score Predicts Not Only Short-Term Complications But Also Long-Term Prognosis After Esophagectomy.
Article in Annals of surgical oncology, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers, 3 of them syntheses that pooled it.
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19 citing papers in PubMed, 3 syntheses or guidelines pooled it, 30 citations in OpenAlex.
- Predictive role of surgical Apgar score for postoperative complications and survival in patients receiving esophagectomy: a meta-analysis.Journal of cardiothoracic surgery · 2026Pooled it
- Ability to predict surgical outcomes by surgical Apgar score: a systematic review.BMC surgery · 2023Pooled it
- Surgical Apgar score could predict complications after esophagectomy: a systematic review and meta-analysis.Interactive cardiovascular and thoracic surgery · 2022Pooled it
- The effect of enhanced recovery after minimally invasive esophagectomy: a randomized controlled trial.Surgical endoscopy · 2022Trial
- Comparison of COSurgical endoscopy · 2025Article
- Esophageal surgical Apgar score (eSAS): A predictor for postoperative morbidity in patients undergoing neoadjuvant therapy and esophagectomy.Thoracic cancer · 2024Article
- The surgical Apgar score predicts postoperative complications and the survival in lung cancer patients.Surgery today · 2023Article
- Combined and intraoperative risk modelling for oesophagectomy: A systematic review.World journal of gastrointestinal surgery · 2023Article
- The cisplatin-induced acute kidney injury is a novel risk factor for postoperative complications in patients with esophageal cancer: a retrospective cohort study.BMC surgery · 2023Article
- A novel nomogram predicting the risk of postoperative pneumonia for esophageal cancer patients after minimally invasive esophagectomy.Surgical endoscopy · 2022Article
- Utility of the surgical Apgar score for predicting the short- and long-term outcomes in non-small-cell lung cancer patients who undergo surgery.Interactive cardiovascular and thoracic surgery · 2022Article
- Comprehensive complication index as a prognostic factor in minimally invasive esophagectomy for esophageal squamous cell carcinoma.Esophagus : official journal of the Japan Esophageal Society · 2022Article
- The impact of the surgical Apgar score on oncological outcomes in patients with colorectal cancer: a propensity score-matched study.World journal of surgical oncology · 2022Article
- Airflow Limitation Predicts Postoperative Pneumonia after Esophagectomy.World journal of surgery · 2021Article
- Postoperative recurrent laryngeal nerve palsy is associated with pneumonia in minimally invasive esophagectomy for esophageal cancer.Surgical endoscopy · 2021Article
- Combining ALT/AST Values with Surgical APGAR Score Improves Prediction of Major Complications after Hepatectomy.Journal of surgery and research · 2021Article
- Risk factors and therapeutic measures for postoperative complications associated with esophagectomy.Annals of medicine and surgery (2012) · 2020Review
- How does Surgical Apgar Score predict the short-term complications and long-term prognosis after esophagectomy?Journal of thoracic disease · 2019Article
- Trans-perineal minimally invasive surgery during laparoscopic abdominoperineal resection for low rectal cancer.Surgical endoscopy · 2019Article
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Authors and funding
12 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundThe surgical Apgar score (SAS) quantifies three intraoperative factors and predicts postoperative complications, but few reports describe its usefulness in esophagectomy, and no studies to date show its correlation with long-term prognosis after esophagectomy.
methodsThis study investigated 400 cases in which esophagectomy was performed on esophageal malignant tumors at the authors' hospital from January 2007 to January 2017. In this study, SAS was defined as the sum of the scores of three parameters, namely, estimated blood loss, lowest mean arterial pressure, and lowest heart rate, with values extracted from medical records. Postoperative complications classified as Clavien-Dindo grade 3 or higher were also extracted. The study retrospectively compared the relationship of SAS to postoperative complications and survival.
resultsUnivariate analysis showed that postoperative complications were significantly associated with hypertension (p = 0.017), thoracotomy (p = 0.012), and SAS ≤ 5 (p < 0.0001), and multivariate analysis showed that hypertension (p = 0.049) and SAS ≤ 5 (p < 0.0001) were significant predictive factors for complications. In the prognostic analysis, log-rank analysis showed that patients with an SAS ≤ 5 had a significantly poorer prognosis than those with a SAS > 5 (p = 0.043), especially for complications classified as clinical stage 2 or higher (p = 0.027). In the multivariate analysis, SAS ≤ 5 was identified as a significantly poor prognostic factor for complications classified as clinical stage 2 or higher (p = 0.029).
conclusionIn this study, SAS was useful not only for predicting short-term complications, but also as a long-term prognostic factor after esophagectomy.
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