Postoperative Complications and Oncologic Outcomes Following Esophagectomy for Esophageal Cancer: A Retrospective Analysis | ||||
| SECI Oncology Journal | ||||
| Volume 13, Issue 1, January 2025, Page 46-57 | ||||
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| Abstract | ||||
| Background: Esophageal cancer is a highly aggressive malignancy associated with significant morbidity and mortality. Esophagectomy is an important radical curative option for patients with esophageal cancer because it allows disease control and improves long-term survival. On the other hand, esophagectomy has potential postoperative complications that could affect the recovery and short- term outcome. It is the goal of this study to estimated short-term complication and progression after an esophagectomy. Patients and Methods: A retrospective analysis of 36 patients who underwent radical surgical resection for esophageal cancer was analyzed. Patients were divided into four groups based on the post-operative complication and oncologic outcomes. Clinicopathological data, including age, tumor stage, and surgical outcomes, were collected from patient records. Results: The overall incidence of postoperative outcomes was as follows: postoperative complications included anastomotic leakage in 22.2% of patients and cardiopulmonary complications in 25%, while oncologic outcomes showed local recurrence in 33.3% of patients and distant metastasis in 27.8%. Older age was significantly associated with cardio-pulmonary complications (p = 0.032), while advanced tumor stage (T3) correlated with both distant metastasis (p = 0.025) and cardio-pulmonary complications (p = 0.041). Positive lymph node status was a significant factor in the occurrence of anastomotic leakage (p = 0.010). Conclusion: This study identified a significant incidence of adverse outcomes following esophagectomy for esophageal cancer, with short-term postoperative complications such as anastomotic leakage and cardiopulmonary issues, as well as oncologic outcomes like local recurrence and distant metastasis, posing substantial challenges to patient recovery and disease control. Advanced tumor stage, older age, and lymph node involvement were key risk factors for these complications. Improved perioperative management and careful surgical planning may help mitigate these risks and improve patient outcomes. | ||||
| Keywords | ||||
| Esophageal cancer; esophagectomy; short-term complications; risk factors | ||||
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