Abstract:
PURPOSE:Prolonged chest drain placement can extend the postoperative hospital stay after esophagectomy in esophageal cancer (EC) patients. This study aimed to identify whether or not the risk factors associated with this prolonged chest tube placement are clinically important. METHODS:A total of 138 patients who underwent subtotal esophagectomy for thoracic EC were retrospectively analyzed. Using the 75th percentile of the total drainage volume of chest tubes as a cutoff value, the high-output (HO; n = 35) and low-output (LO; n = 103) groups were compared in terms of the clinicopathological parameters. RESULTS:The median durations of right and left chest tube placement were 6 and 9 days, respectively, with a median total drainage volume of 2692 ml. When compared with the LO group, the HO group was significantly associated with male gender, a subcutaneous route for reconstruction, blood transfusion, higher morbidity, and prolonged chest drainage and postoperative hospital stays. A multivariable analysis further identified blood loss (p = 0.03) and the subcutaneous route for reconstruction (p = 0.04) as independent risk factors for increased chest tube drainage after esophagectomy. CONCLUSION:Blood loss and the subcutaneous route of reconstruction are risk factors for increased drainage of chest tube after esophagectomy for EC.
journal_name
Surg Todayjournal_title
Surgery todayauthors
Kato R,Makino T,Yamasaki M,Tanaka K,Miyazaki Y,Takahashi T,Kurokawa Y,Motoori M,Kimura Y,Nakajima K,Mori M,Doki Ydoi
10.1007/s00595-019-01849-ysubject
Has Abstractpub_date
2019-12-01 00:00:00pages
1058-1065issue
12eissn
0941-1291issn
1436-2813pii
10.1007/s00595-019-01849-yjournal_volume
49pub_type
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