Respiratory complications following mini-invasive laparoscopic and thoracoscopic esophagectomy for esophageal cancer. Experience in 215 patients

Radek Vrba; David Vrána; Čestmír Neoral; Bohuslav Melichar; René Aujeský; Jana Tesarikova; Jan Cincibuch; Jana Zapletalová; Tomáš Jínek; Martin Stašek

doi:10.5114/wiitm.2018.77276

eISSN: 2299-0054
ISSN: 1895-4588

Videosurgery and Other Miniinvasive Techniques

Current issue Archive Manuscripts accepted About the journal Supplements Editorial board Reviewers Subscription Contact Instructions for authors Ethical standards and procedures

Editorial System

Submit your Manuscript

Editorial Policies

Sarajevo Declaration on Integrity and Visibility of Scholarly Publications

1/2019
vol. 14

Send email

Copy url:

abstract:

Original paper

Respiratory complications following mini-invasive laparoscopic and thoracoscopic esophagectomy for esophageal cancer. Experience in 215 patients

Radek Vrba

,

David Vrána

,

Čestmír Neoral

,

Bohuslav Melichar

,

René Aujeský

,

Jana Tesarikova

,

Jan Cincibuch

,

Jana Zapletalová

,

Tomáš Jínek

,

Martin Stašek

Videosurgery Miniinv 2019; 14 (1): 52–59

DOI: https://doi.org/10.5114/wiitm.2018.77276

Online publish date: 2018/07/24

View full text Get citation

EndNote

Papers, Reference Manager, RefWorks, Zotero

AMA

Vrba R, Vrána D, Neoral Č, et al. Respiratory complications following mini-invasive laparoscopic and thoracoscopic esophagectomy for esophageal cancer. Experience in 215 patients. Videosurgery and Other Miniinvasive Techniques. 2019:52-59. doi:10.5114/wiitm.2018.77276.

APA

Vrba, R., Vrána, D., Neoral, Č., Melichar, B., Aujeský, R.,  & Tesarikova, J. et al. (2019). Respiratory complications following mini-invasive laparoscopic and thoracoscopic esophagectomy for esophageal cancer. Experience in 215 patients. Videosurgery and Other Miniinvasive Techniques, 52-59. https://doi.org/10.5114/wiitm.2018.77276

Chicago

Vrba, Radek, David Vrána, Čestmír Neoral, Bohuslav Melichar, René Aujeský, Jana Tesarikova,  and Jan Cincibuch et al. 2019. "Respiratory complications following mini-invasive laparoscopic and thoracoscopic esophagectomy for esophageal cancer. Experience in 215 patients". Videosurgery and Other Miniinvasive Techniques: 52-59. doi:10.5114/wiitm.2018.77276.

Harvard

Vrba, R., Vrána, D., Neoral, Č., Melichar, B., Aujeský, R., Tesarikova, J., Cincibuch, J., Zapletalová, J., Jínek, T.,  and Stašek, M. (2019). Respiratory complications following mini-invasive laparoscopic and thoracoscopic esophagectomy for esophageal cancer. Experience in 215 patients. Videosurgery and Other Miniinvasive Techniques, pp.52-59. https://doi.org/10.5114/wiitm.2018.77276

MLA

Vrba, Radek et al. "Respiratory complications following mini-invasive laparoscopic and thoracoscopic esophagectomy for esophageal cancer. Experience in 215 patients." Videosurgery and Other Miniinvasive Techniques, 2019, pp. 52-59. doi:10.5114/wiitm.2018.77276.

Vancouver

Vrba R, Vrána D, Neoral Č, Melichar B, Aujeský R, Tesarikova J et al. Respiratory complications following mini-invasive laparoscopic and thoracoscopic esophagectomy for esophageal cancer. Experience in 215 patients. Videosurgery and Other Miniinvasive Techniques. 2019:52-59. doi:10.5114/wiitm.2018.77276.

PlumX metrics:

Introduction
Respiratory complications (RC) including respiratory failure and adult respiratory distress syndrome (ARDS) affect the outcomes of esophagectomy substantially. In order to decrease their incidence, identification of important features of RC is necessary.

Aim
To evaluate the incidence and risk factors of postoperative RC following hybrid esophagectomy.

Material and methods
The retrospective analysis of consecutive hybrid esophagectomies for malignancies (transhiatal laparoscopic or thoracoscopic resection and limited open reconstruction phase) assessed the incidence and outcomes of RC in relation to the patients’ age, ASA score, neoadjuvant therapy, type of surgical procedure, TNM stage, the incidence of anastomotic leak and Clavien-Dindo classification.

Results
Transhiatal laparoscopic (176, 81.9%) or thoracoscopic hybrid esophagectomy (39, 18.1%, conversion in 7 patients) was completed in 215 patients, 187 (87%) men and 28 (13%) women. Respiratory complications developed in 86 (40%) and severe respiratory failure or ARDS occurred in 29 (13.5%) patients. The overall in-hospital mortality was 7.4%, 30-day mortality 5.6% (RC 9, myocardial infarction 1, conduit necrosis 1), and 90-day mortality a further 1.8% (multiple organ failure, ARDS). The incidence of RC correlates significantly with ASA score II and III (p = 0.0002) and Clavien-Dindo grade 4 and 5 in severe RC (p < 0.0001). Furthermore, hospital stay (p < 0.0001) and mortality (p < 0.0001) were significantly increased in RC.

Conclusions
The results show a higher occurrence of RC in polymorbid patients and patients with severe complications according to the Clavien-Dindo classification. Adequate risk management including surgical technique and perioperative prophylaxis and therapy of RC should be studied and standardized.

keywords:

Respiratory complications following mini-invasive laparoscopic and thoracoscopic esophagectomy for esophageal cancer. Experience in 215 patients

Radek Vrba , David Vrána , Čestmír Neoral , Bohuslav Melichar , René Aujeský , Jana Tesarikova , Jan Cincibuch , Jana Zapletalová , Tomáš Jínek , Martin Stašek

neoadjuvant therapy, esophagectomy complication, respiratory complication, esophageal cancer therapy

Radek Vrba

,

David Vrána

,

Čestmír Neoral

,

Bohuslav Melichar

,

René Aujeský

,

Jana Tesarikova

,

Jan Cincibuch

,

Jana Zapletalová

,

Tomáš Jínek

,

Martin Stašek