What question did this study set out to answer?

To report five-year complication rates using standardized Esophageal Complications Consensus Group (ECCG) definitions and compare results against ECCG and Dutch Upper Gastrointestinal Cancer Audit (DUCA) benchmarks.

September 1, 2021Diseases of the Esophagus

548 Comparison of Esophagectomy Outcomes Between a National Center, a National Audit Collaborative, and an International Database Using Eccg Standardized Definitions

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Authors

JRJohn V. ReynoldsTrinity College JEJessie A. ElliottTrinity Health NDNoel E. DonlonRoyal College of Surgeons in Ireland

Discussion

Member takes

Implication

Comparative audit reveals low mortality and leak rates after open esophagectomy, suggesting standardized complication benchmarks are attainable across surgical approaches.

Key Points

To report five-year complication rates using standardized Esophageal Complications Consensus Group (ECCG) definitions and compare results against ECCG and Dutch Upper Gastrointestinal Cancer Audit (DUCA) benchmarks.
Reviewed prospective registry data from consecutive patients undergoing curative multimodal therapy or surgery between 2014 and 2018 (N=219).
Recorded clinical complications internally and through the standardized Esodata.org online platform using ECCG consensus definitions.
Among 219 patients undergoing open resection (66.6% transthoracic en bloc), 30-day mortality was 0.0% and 90-day mortality was 0.9%.
Observed complication rates included anastomotic leak in 5.4%, chyle leak in 5.4%, pneumonia in 18.2%, respiratory failure in 10.9%, acute respiratory distress syndrome in 2.7%, and atrial dysrhythmia in 22.8%.
Compared to ECCG and DUCA cohorts where minimally invasive esophagectomy comprised 47% and 86% of cases, this open series demonstrated similar overall complication severity alongside lower mortality and several-fold lower anastomotic leak rates.

Cite This Study

Reynolds et al. (2021) studied this question.

synapsesocial.com/papers/6a7f84f54ae0097cbfb111ed https://doi.org/10.1093/dote/doab052.548

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Implication

Comparative audit reveals low mortality and leak rates after open esophagectomy, suggesting standardized complication benchmarks are attainable across surgical approaches.

548 Comparison of Esophagectomy Outcomes Between a National Center, a National Audit Collaborative, and an International Database Using Eccg Standardized Definitions

Discussion

Member takes

Implication

Key Points

Cite This Study

548 Comparison of Esophagectomy Outcomes Between a National Center, a National Audit Collaborative, and an International Database Using Eccg Standardized Definitions

Discussion

Member takes

Implication

Key Points

Cite This Study

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