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Table 5 Postoperative complications

From: Comparative analysis of long-term oncologic outcomes for minimally invasive and open Ivor Lewis esophagectomy after neoadjuvant chemoradiation: a propensity score matched observational study

 

Unadjusted

IPTW adjusted

Variable

O-ILE

N = 69

M-ILE

N = 154

p-value

O-ILE

N = 68

M-ILE

N = 142

p-value

Postoperative event occurred

36 (52.2%)

62 (40.3%)

0.098

53.39%

39.19%

0.089

Acute respiratory distress syndrome

0 (0.0%)

1 (0.6%)

 

0.00%

0.74%

 

Acute myocardial infarction

0 (0.0%)

0 (0.0%)

 

0.00%

0.00%

 

Air leak ≥ 5 Days

0 (0.0%)

0 (0.0%)

 

0.00%

0.00%

 

Airway fistula

0 (0.0%)

5 (3.2%)

 

0.00%

3.08%

 

Anastomotic leak

6 (8.7%)

9 (5.8%)

0.432

12.63%

6.41%

0.228

Anastomotic leak requiring repair

4 (5.8%)

5 (3.2%)

0.371

3.89%

3.47%

0.866

Anastomotic leak requiring stent

1 (1.4%)

5 (3.2%)

0.443

4.47%

3.56%

0.830

Conduit necrosis requiring surgery

2 (2.9%)

2 (1.3%)

0.405

2.13%

1.22%

0.576

Atelectasis requiring bronchoscopy

3 (4.3%)

2 (1.3%)

0.155

7.71%

0.78%

0.015

Atrial arrhythmia requiring treatment

10 (14.5%)

25 (16.2%)

0.741

16.67%

15.34%

0.828

Anastomotic stricture

4 (5.8%)

7 (4.5%)

0.690

5.06%

5.27%

0.948

Respiratory failure

11 (15.9%)

10 (6.5%)

0.026

18.12%

5.29%

0.006

Pneumonia

7 (10.1%)

8 (5.2%)

0.173

8.29%

5.43%

0.423

Empyema requiring treatment

1 (1.4%)

0 (0.0%)

 

0.93%

0.00%

 

Ileus

2 (2.9%)

1 (0.6%)

0.178

5.00%

0.89%

0.119

Initial vent support 48 hour

4 (5.8%)

0 (0.0%)

 

5.49%

0.00%

 

Pleural effusion

6 (8.7%)

3 (1.9%)

0.018

7.84%

2.46%

0.087

Postoperative blood transfusion

16 (23.2%)

10 (6.5%)

< 0.001

24.17%

6.28%

0.001

Pulmonary embolus

1 (1.4%)

1 (0.6%)

0.558

1.26%

0.58%

0.570

Renal failure

1 (1.4%)

1 (0.6%)

0.558

1.10%

0.00%

 

Chylothorax

1 (1.4%)

0 (0.0%)

 

1.26%

0.00%

 

Deep venous thrombosis

2 (2.9%)

4 (2.6%)

0.898

3.64%

2.75%

0.749

Delirium

7 (10.1%)

14 (9.1%)

0.803

9.36%

8.61%

0.859

Sepsis

3 (4.3%)

3 (1.9%)

0.306

3.45%

2.13%

0.555

Tracheostomy

2 (2.9%)

1 (0.6%)

0.178

3.07%

0.74%

0.214

Urinary tract infection

0 (0.0%)

1 (0.6%)

 

0.00%

0.82%

 

Ventricular arrhythmia

2 (2.9%)

7 (4.5%)

0.564

4.81%

4.39%

0.915

Unexpected ICU admission

20 (29.0%)

13 (8.4%)

< 0.001

31.46%

6.86%

< 0.001

Hospital length of stay (Days):

Median [IQR]

9 [7–13]

8 [7–9]

0.003

9 [7–13]

7.5 [7, 8]

0.010

Readmission within 30 days

6 (8.7%)

16 (10.4%)

0.695

5.88%

9.75%

0.293

Death 30 days after surgery

3 (4.4%)

1 (0.7%)

0.089

3.24%

0.55%

0.084

Death 90 days after surgery

3 (4.4%)

5 (3.3%)

0.705

3.24%

3.61%

0.883

  1. IPTW Inverse probability of treatment weighting, O-ILE Open Ivor Lewis esophagectomy, M-ILE Minimally invasive Ivor Lewis esophagectomy, IQR Interquartile range