Risk Factors of Cervical Anastomotic Leakage after McKeown Minimally Invasive Esophagectomy: Focus on Preoperative and Intraoperative Lung Function
Wenda Gao, Ming‐Bo Wang, Peng Su, Fan Zhang, Chao‐Yuan Huang, Ziqiang Tian
Abstract
BACKGROUND: Cervical anastomotic leakage (CAL) is one of the most common complications that occur minimally invasive esophagectomy (MIE). It is associated with high postoperative mortality. Some risk factors still remained controversial and so accurate prediction of risk groups for CAL remained very difficult. This study aimed to identify the risk factors of CAL after McKeown MIE to predict the accuracy of the technique as early as possible. MATERIAL AND METHODS: A total of 129 patients with esophageal cancer who underwent McKeown MIE at the Department of Thoracic Surgery, the Fourth Hospital of Hebei Medical University, between January 2018 and June 2019 were retrospectively reviewed. Multivariate logistic regression analysis was used to identify the risk factors for CAL and receiver operating characteristic (ROC) curve analysis was used to predict the accuracy for each quantitative data variable and determine the cutoff value. RESULTS: >45.5 mmHg (p = 0.002) demonstrated good accuracy. CONCLUSION: >45.5 mmHg in ABG showed good accuracy in predicting risk factors for CAL.