Postoperative 30-day mortality may underestimate the risk of esophagectomy / 中华胃肠外科杂志
Chinese Journal of Gastrointestinal Surgery
; (12): 897-900, 2015.
Article
de Zh
| WPRIM
| ID: wpr-353814
Bibliothèque responsable:
WPRO
ABSTRACT
<p><b>OBJECTIVE</b>To summarize the mortality of esophagectomy in our series and compare the different mortalities based on 30-day deaths and 90-day deaths postoperatively.</p><p><b>METHODS</b>A total of 954 patients undergoing esophagectomy by single-surgeon-team between January 2000 and December 2012 from our prospective database were enrolled. The mortalities based on 30-day and 90-day deaths postoperatively were compared, and the causes of deaths within 30 days and 90 days were analyzed.</p><p><b>RESULTS</b>Among all these 954 patients, a total of 20 postoperative deaths(2.1%) were observed: 11 within 30 days(1.1%) and 9 between 30 and 90 days after surgery(1.0%). The reasons for deaths within 30 days were as follows: 3 for respiratory failure related to anastomotic leakage,1 for bleeding after stenting due to anastomotic fistula, 1 for sepsis, 3 for respiratory failure from presenting preoperative respiratory morbidities, 2 for cardiac arrest caused by preoperative heart disorder, and 1 for multiple organ failure caused by early adjuvant chemotoxicity. The reasons for deaths between 30 and 90 days were as follows: 1 for respiratory failure related to anastomotic leakage, 1 for cardiac arrest from preoperative heart disorder, 1 for cerebrovascular accident, 1 for liver failure from liver cirrhosis presenting preoperatively, 1 for renal failure after operation, 1 for tumor progression and 2 for unknown reasons.</p><p><b>CONCLUSION</b>Since postoperative mortality calculated based on 30 days deaths postoperatively may underestimate the risk of esophagectomy, mortality calculated based on 90 days may be a better option.</p>
Texte intégral:
1
Indice:
WPRIM
Sujet Principal:
Période postopératoire
/
Chirurgie générale
/
Tumeurs de l'oesophage
/
Endoprothèses
/
Études prospectives
/
Facteurs de risque
/
Mortalité
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Cause de décès
/
Oesophagectomie
/
Désunion anastomotique
Type d'étude:
Etiology_studies
/
Observational_studies
/
Prognostic_studies
/
Risk_factors_studies
Limites du sujet:
Humans
langue:
Zh
Texte intégral:
Chinese Journal of Gastrointestinal Surgery
Année:
2015
Type:
Article