ArticleWorld journal of surgery2018
Preoperative Smoking Cessation is Integral to the Prevention of Postoperative Morbidities in Minimally Invasive Esophagectomy.
Article in World journal of surgery, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers, 3 of them syntheses that pooled it.
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Who cites it
20 citing papers in PubMed, 3 syntheses or guidelines pooled it, 33 citations in OpenAlex.
- Preoperative risk factors for postoperative pneumonia in patients with esophageal cancer: A systematic review and meta-analysis.Surgery today · 2026Pooled it
- Smoking and Complications After Cancer Surgery: A Systematic Review and Meta-Analysis.JAMA network open · 2025Pooled it
- Smoking status predicts anastomotic leak after esophagectomy: a systematic review & meta-analysis.Surgical endoscopy · 2024Pooled it
- Risk factors and bacterial spectrum postoperative infections after esophageal tumor surgery in patients aged ≥60 years.Frontiers in oncology · 2025Article
- Textbook outcome contributes to long-term prognosis in elderly patients with esophageal squamous cell carcinoma.Annals of gastroenterological surgery · 2024Article
- Measurement and optimization of perioperative risk among patients undergoing surgery for esophageal cancer.Diseases of the esophagus : official journal of the International Society for Diseases of the Esophagus · 2024Article
- Article
- Optimal period of smoking cessation to reduce the incidence of postoperative pulmonary complications in lung cancer.Interdisciplinary cardiovascular and thoracic surgery · 2023Article
- The Influence of Preoperative Smoking Status on Postoperative Complications and Long-Term Outcome Following Thoracoscopic Esophagectomy in Prone Position for Esophageal Carcinoma.Annals of surgical oncology · 2023Article
- Preoperative Smoking Cessation and Prognosis After Curative Esophagectomy for Esophageal Cancer: A Cross-Sectional Study.Annals of surgical oncology · 2022Article
- ASO Author Reflections: Insufficient Preoperative Smoking Cessation May Deteriorate Postoperative Prognosis for Esophageal Cancer.Annals of surgical oncology · 2022Article
- A practical guide for perioperative smoking cessation.Journal of anesthesia · 2022Review
- Associations between the severity of medical and surgical complications and perception of surgeon empathy in esophageal and gastric cancer patients.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2021Article
- Risk Factors for Failure of Direct Oral Feeding Following a Totally Minimally Invasive Esophagectomy.Nutrients · 2021Article
- Clinical usefulness of sputum culture on the first postoperative day to predict early postoperative pneumonia after esophagectomy for esophageal cancer.Esophagus : official journal of the Japan Esophageal Society · 2021Article
- Impact of Smoking Status on Perioperative Morbidity, Mortality, and Long-Term Survival Following Transthoracic Esophagectomy for Esophageal Cancer.Annals of surgical oncology · 2021Article
- Precautions for avoiding pulmonary morbidity after esophagectomy.Annals of gastroenterological surgery · 2020Review
- Esophageal Position Affects Short-Term Outcomes After Minimally Invasive Esophagectomy: A Retrospective Multicenter Study.World journal of surgery · 2020Article
- Optimizing health before elective thoracic surgery: systematic review of modifiable risk factors and opportunities for health services research.Journal of thoracic disease · 2019Review
- Risk factors and measures of pulmonary complications after thoracoscopic esophagectomy for esophageal cancer.Surgery today · 2019Article
Corrections and comments
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Authors and funding
11 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundPreoperative smoking cessation is considered integral to decreasing postoperative morbidities after esophagectomy. To our knowledge, the association of the duration of smoking cessation with the occurrence of postoperative morbidity has never been investigated in minimally invasive esophagectomy (MIE).
methodsA total of 198 consecutive MIEs for esophageal cancer between June 2011 and December 2017 were eligible for the study. According to the length of smoking cessation, patients were separated into three groups: ≤ 30, 31-90, and ≥ 91 days. Incidence of postoperative morbidities was retrospectively analyzed among the groups.
resultsIn patients with smoking cessation ≤ 30 days, morbidities of Clavien-Dindo classification (CDc) ≥ II, severe morbidities of CDc ≥ IIIb, pneumonia, and any pulmonary morbidities were frequently observed. Morbidities of CDc ≥ II, pneumonia, and any pulmonary morbidities increased as the length of cessation became shorter. Smoking cessation ≤ 30 days was a significant risk factor for severe morbidity (hazard ratio [HR] 4.89, 95% confidence interval [CI] 1.993-12.011; P < 0.001). Smoking cessation ≤ 90 days (HR 3.98, 95% CI 1.442-10.971; P = 0.008), past smoking (per 100 increase in Brinkman index), and cardiovascular comorbidity were significant risk factors for pneumonia. Smoking cessation ≤ 30 days (HR 3.13, 95% CI 1.351-7.252; P = 0.008) and past smoking were significant risk factors for any pulmonary morbidity.
conclusionsPreoperative smoking cessation is considerably important to prevent postoperative morbidities, even in MIE. At least, preoperative cessation ≥ 31 days is preferable to decrease considerable morbidities after MIE.
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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.