Evidence map›Paper›PMID 37782412›Full record

ArticleAnnals of surgical oncology2023

Major Intraoperative Complications During Minimally Invasive Esophagectomy.

H Söderström, J Moons, P Nafteux, E Uzun, P Grimminger, M D P Luyer, G A P Nieuwenhuijzen, M Nilsson, M Hayami, S Degisors and 9 more

Open access · hybridAbstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in Annals of surgical oncology, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
2.5field-weighted citation impact, top 10% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

5 citing papers in PubMed, 8 citations in OpenAlex.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

19 authors at 10 institutions in 9 countries.

H SöderströmDepartment of Thoracic Surgery, Helsinki University Hospital, University of Helsinki, Helsinki, Finland. henna.k.soderstrom@hus.fi.ORCID http://orcid.org/0000-0002-9668-6312
J MoonsDepartment of Thoracic Surgery, University Hospitals Leuven, Leuven, Belgium.
P NafteuxDepartment of Thoracic Surgery, University Hospitals Leuven, Leuven, Belgium.
E UzunDepartment of General, Visceral and Transplant Surgery, University Medical Center of the Johannes Gutenberg University, Mainz, Germany.
P GrimmingerDepartment of General, Visceral and Transplant Surgery, University Medical Center of the Johannes Gutenberg University, Mainz, Germany.
M D P LuyerDepartment of Surgery, Catharina Hospital, Eindhoven, The Netherlands.
G A P NieuwenhuijzenDepartment of Surgery, Catharina Hospital, Eindhoven, The Netherlands.
M NilssonDepartment of Upper Abdominal Surgery, Center for Digestive Diseases, Karolinska University Hospital, Stockholm, Sweden.
M HayamiDepartment of Upper Abdominal Surgery, Center for Digestive Diseases, Karolinska University Hospital, Stockholm, Sweden.
S DegisorsDepartment of Digestive and Oncological Surgery, University Hospital C. Huriez Place de Verdun, Lille Cedex, France.
G PiessenDepartment of Digestive and Oncological Surgery, University Hospital C. Huriez Place de Verdun, Lille Cedex, France.
H VanommeslaegheDepartment of Gastro-Intestinal Surgery, Ghent University Hospital, Ghent, Belgium.
E Van DaeleDepartment of Gastro-Intestinal Surgery, Ghent University Hospital, Ghent, Belgium.
E CheongNorfolk and Norwich University Hospital NHS FT, Norwich, UK.
Ch A GutschowDepartment of Surgery and Transplantation, University Hospital Zurich, Zurich, Switzerland.
D VetterDepartment of Surgery and Transplantation, University Hospital Zurich, Zurich, Switzerland.
N SchuringDepartment of Surgery, Amsterdam UMC Location University of Amsterdam, Amsterdam, The Netherlands.
S S GisbertzDepartment of Surgery, Amsterdam UMC Location University of Amsterdam, Amsterdam, The Netherlands.
J RäsänenDepartment of Thoracic Surgery, Helsinki University Hospital, University of Helsinki, Helsinki, Finland.
Amsterdam University Medical Centers · NLGhent University Hospital · BEHôpital Claude Huriez · FRJohannes Gutenberg University Mainz · DEKarolinska University Hospital · SEKU Leuven · BERadboud University Nijmegen · NLUniversity Hospital of Zurich · CHUniversity of Helsinki · FINorfolk and Norwich University Hospital · GB

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundStudies have shown minimally invasive esophagectomy (MIE) to be a feasible surgical technique in treating esophageal carcinoma. Postoperative complications have been extensively reviewed, but literature focusing on intraoperative complications is limited. The main objective of this study was to report major intraoperative complications and 90-day mortality during MIE for cancer.

methodsData were collected retrospectively from 10 European esophageal surgery centers. All intention-to-treat, minimally invasive laparoscopic/thoracoscopic esophagectomies with gastric conduit reconstruction for esophageal and GE junction cancers operated on between 2003 and 2019 were reviewed. Major intraoperative complications were defined as loss of conduit, erroneous transection of vascular structures, significant injury to other organs including bowel, heart, liver or lung, splenectomy, or other major complications including intubation injuries, arrhythmia, pulmonary embolism, and myocardial infarction.

resultsAmongst 2862 MIE cases we identified 98 patients with 101 intraoperative complications. Vascular injuries were the most prevalent, 41 during laparoscopy and 19 during thoracoscopy, with injuries to 18 different vessels. There were 24 splenic vascular or capsular injuries, 11 requiring splenectomies. Four losses of conduit due to gastroepiploic artery injury and six bowel injuries were reported. Eight tracheobronchial lesions needed repair, and 11 patients had significant lung parenchyma injuries. There were 2 on-table deaths. Ninety-day mortality was 9.2%.

conclusionsThis study offers an overview of the range of different intraoperative complications during minimally invasive esophagectomy. Mortality, especially from intrathoracic vascular injuries, appears significant.

Indexed as

Esophageal NeoplasmsLaparoscopyVascular System InjuriesEsophagectomyHumansIntraoperative ComplicationsMinimally Invasive Surgical ProceduresPostoperative ComplicationsRetrospective StudiesThoracoscopyTreatment OutcomeComplicationEsophageal cancerMinimally invasive esophagectomySurgical outcome

Identifiers

PMID37782412
PMCPMC10625950
OpenAlexW4387241402

What OpenQuestion holds

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LicenceCC BY
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Registered trials

None linked

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.