Loading…
Comparison of Two Circular-Stapled Techniques for Esophageal Cancer: A Propensity-Matched Analysis
The optimal technique for the thoracoscopic construction of an intrathoracic esophagogastric anastomosis continues to be a subject of controversy. The aim of this study was to compare the perioperative outcomes of circular-stapled anastomosis using a transorally inserted anvil (Orvil™) with those of...
Saved in:
| Published in: | Frontiers in oncology 2021-12, Vol.11, p.759599-759599 |
|---|---|
| Main Authors: | , , , , , |
| Format: | Article |
| Language: | English |
| Subjects: | |
| Citations: | Items that this one cites Items that cite this one |
| Online Access: | Get full text |
| Tags: |
Add Tag
No Tags, Be the first to tag this record!
|
| cited_by | cdi_FETCH-LOGICAL-c462t-63020bdece562cd2d1feb36f84f881a468fe4fbcbf8e006d2d88ac0d374f2a253 |
|---|---|
| cites | cdi_FETCH-LOGICAL-c462t-63020bdece562cd2d1feb36f84f881a468fe4fbcbf8e006d2d88ac0d374f2a253 |
| container_end_page | 759599 |
| container_issue | |
| container_start_page | 759599 |
| container_title | Frontiers in oncology |
| container_volume | 11 |
| creator | Lin, Hang Liang, Ge'ao Chai, Huiping Liao, Yongde Zhang, Chunfang Cheng, Yuanda |
| description | The optimal technique for the thoracoscopic construction of an intrathoracic esophagogastric anastomosis continues to be a subject of controversy. The aim of this study was to compare the perioperative outcomes of circular-stapled anastomosis using a transorally inserted anvil (Orvil™) with those of circular-stapled anastomosis using a transthoracically placed anvil (non-Orvil™) in totally minimally invasive Ivor Lewis esophagectomy (Ivor Lewis TMIE).
The data of 272 patients who underwent Ivor Lewis TMIE for esophageal cancer at multiple centers were collected from January 1, 2014 to December 31, 2017. After propensity score matching (1:1) for patient baseline characteristics, 65 paired cases were selected for statistical analysis. Logistic regression analysis was performed to investigate the significant factors of anastomotic leakage.
In the propensity score-matched analysis, compared with the non-Orvil™ group, the Orvil™ group was associated with a significantly shorter operation time (
=0.031), less intraoperative hemorrhage ( |
| doi_str_mv | 10.3389/fonc.2021.759599 |
| format | article |
| fullrecord | <record><control><sourceid>proquest_doaj_</sourceid><recordid>TN_cdi_doaj_primary_oai_doaj_org_article_680b7b95eb8848dd9bbf32ebc7de5fdf</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><doaj_id>oai_doaj_org_article_680b7b95eb8848dd9bbf32ebc7de5fdf</doaj_id><sourcerecordid>2616281785</sourcerecordid><originalsourceid>FETCH-LOGICAL-c462t-63020bdece562cd2d1feb36f84f881a468fe4fbcbf8e006d2d88ac0d374f2a253</originalsourceid><addsrcrecordid>eNpVkUFv1DAQhSMEolXpnRPKkUsWx04cmwPSKiptpSKQWCRu1tge77ryxsHOgvbfk7Clan2xZb_3zYxfUbytyYoxIT-4OJgVJbReda1spXxRnFPKmko27OfLJ-ez4jLnezIv3pKasNfFGWtkxwXpzgvdx_0Iyec4lNGVmz-x7H0yhwCp-j7BGNCWGzS7wf86YC5dTOVVjuMOtgih7GEwmD6W6_JbiiMO2U_H6gtMZjfb1gOEY_b5TfHKQch4-bBfFD8-X236m-ru6_Vtv76rTMPpVHFGKNEWDbacGktt7VAz7kTjhKih4cJh47TRTuA8yiwQAgyxrGscBdqyi-L2xLUR7tWY_B7SUUXw6t9FTFsFafImoJpn152WLWohGmGt1Noxitp0Fltn3cz6dGKNB71Ha3CYEoRn0Ocvg9-pbfytRFdzJpdm3j8AUlx-blJ7nw2GAAPGQ1aU15yKuhOLlJykJsWcE7rHMjVRS9JqSVotSatT0rPl3dP2Hg3_c2V_AVLzqEA</addsrcrecordid><sourcetype>Open Website</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>2616281785</pqid></control><display><type>article</type><title>Comparison of Two Circular-Stapled Techniques for Esophageal Cancer: A Propensity-Matched Analysis</title><source>PubMed Central</source><creator>Lin, Hang ; Liang, Ge'ao ; Chai, Huiping ; Liao, Yongde ; Zhang, Chunfang ; Cheng, Yuanda</creator><creatorcontrib>Lin, Hang ; Liang, Ge'ao ; Chai, Huiping ; Liao, Yongde ; Zhang, Chunfang ; Cheng, Yuanda</creatorcontrib><description>The optimal technique for the thoracoscopic construction of an intrathoracic esophagogastric anastomosis continues to be a subject of controversy. The aim of this study was to compare the perioperative outcomes of circular-stapled anastomosis using a transorally inserted anvil (Orvil™) with those of circular-stapled anastomosis using a transthoracically placed anvil (non-Orvil™) in totally minimally invasive Ivor Lewis esophagectomy (Ivor Lewis TMIE).
The data of 272 patients who underwent Ivor Lewis TMIE for esophageal cancer at multiple centers were collected from January 1, 2014 to December 31, 2017. After propensity score matching (1:1) for patient baseline characteristics, 65 paired cases were selected for statistical analysis. Logistic regression analysis was performed to investigate the significant factors of anastomotic leakage.
In the propensity score-matched analysis, compared with the non-Orvil™ group, the Orvil™ group was associated with a significantly shorter operation time (
=0.031), less intraoperative hemorrhage (
<0.001), lower need for intraoperative transfusions (
=0.009), earlier postoperative oral feeding time (
=0.010), longer chest tube duration (
<0.001), shorter postoperative hospital stays (
=0.001), lower total hospitalization costs (
<0.001) and a lower postoperative anastomotic leakage rate (
=0.033). Multivariate logistic regression analysis showed that anastomotic technique and pulmonary infection were independent factors for the development of postoperative anastomotic leakage (
< 0.05).
Orvil™ anastomosis exhibited better perioperative effects than non-Orvil™ anastomosis after the propensity score-matched analysis. Remarkably, the Orvil™ technique contributed to a lower postoperative anastomotic leakage rate than the non-Orvil™ technique.</description><identifier>ISSN: 2234-943X</identifier><identifier>EISSN: 2234-943X</identifier><identifier>DOI: 10.3389/fonc.2021.759599</identifier><identifier>PMID: 34976807</identifier><language>eng</language><publisher>Switzerland: Frontiers Media S.A</publisher><subject>anastomotic leakage ; anastomotic technique ; esophageal cancer ; minimally invasive Ivor Lewis esophagectomy ; Oncology ; thoracoscopic intrathoracic esophagogastric anastomosis</subject><ispartof>Frontiers in oncology, 2021-12, Vol.11, p.759599-759599</ispartof><rights>Copyright © 2021 Lin, Liang, Chai, Liao, Zhang and Cheng.</rights><rights>Copyright © 2021 Lin, Liang, Chai, Liao, Zhang and Cheng 2021 Lin, Liang, Chai, Liao, Zhang and Cheng</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c462t-63020bdece562cd2d1feb36f84f881a468fe4fbcbf8e006d2d88ac0d374f2a253</citedby><cites>FETCH-LOGICAL-c462t-63020bdece562cd2d1feb36f84f881a468fe4fbcbf8e006d2d88ac0d374f2a253</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC8716395/pdf/$$EPDF$$P50$$Gpubmedcentral$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC8716395/$$EHTML$$P50$$Gpubmedcentral$$Hfree_for_read</linktohtml><link.rule.ids>230,314,727,780,784,885,27924,27925,53791,53793</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/34976807$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Lin, Hang</creatorcontrib><creatorcontrib>Liang, Ge'ao</creatorcontrib><creatorcontrib>Chai, Huiping</creatorcontrib><creatorcontrib>Liao, Yongde</creatorcontrib><creatorcontrib>Zhang, Chunfang</creatorcontrib><creatorcontrib>Cheng, Yuanda</creatorcontrib><title>Comparison of Two Circular-Stapled Techniques for Esophageal Cancer: A Propensity-Matched Analysis</title><title>Frontiers in oncology</title><addtitle>Front Oncol</addtitle><description>The optimal technique for the thoracoscopic construction of an intrathoracic esophagogastric anastomosis continues to be a subject of controversy. The aim of this study was to compare the perioperative outcomes of circular-stapled anastomosis using a transorally inserted anvil (Orvil™) with those of circular-stapled anastomosis using a transthoracically placed anvil (non-Orvil™) in totally minimally invasive Ivor Lewis esophagectomy (Ivor Lewis TMIE).
The data of 272 patients who underwent Ivor Lewis TMIE for esophageal cancer at multiple centers were collected from January 1, 2014 to December 31, 2017. After propensity score matching (1:1) for patient baseline characteristics, 65 paired cases were selected for statistical analysis. Logistic regression analysis was performed to investigate the significant factors of anastomotic leakage.
In the propensity score-matched analysis, compared with the non-Orvil™ group, the Orvil™ group was associated with a significantly shorter operation time (
=0.031), less intraoperative hemorrhage (
<0.001), lower need for intraoperative transfusions (
=0.009), earlier postoperative oral feeding time (
=0.010), longer chest tube duration (
<0.001), shorter postoperative hospital stays (
=0.001), lower total hospitalization costs (
<0.001) and a lower postoperative anastomotic leakage rate (
=0.033). Multivariate logistic regression analysis showed that anastomotic technique and pulmonary infection were independent factors for the development of postoperative anastomotic leakage (
< 0.05).
Orvil™ anastomosis exhibited better perioperative effects than non-Orvil™ anastomosis after the propensity score-matched analysis. Remarkably, the Orvil™ technique contributed to a lower postoperative anastomotic leakage rate than the non-Orvil™ technique.</description><subject>anastomotic leakage</subject><subject>anastomotic technique</subject><subject>esophageal cancer</subject><subject>minimally invasive Ivor Lewis esophagectomy</subject><subject>Oncology</subject><subject>thoracoscopic intrathoracic esophagogastric anastomosis</subject><issn>2234-943X</issn><issn>2234-943X</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2021</creationdate><recordtype>article</recordtype><sourceid>DOA</sourceid><recordid>eNpVkUFv1DAQhSMEolXpnRPKkUsWx04cmwPSKiptpSKQWCRu1tge77ryxsHOgvbfk7Clan2xZb_3zYxfUbytyYoxIT-4OJgVJbReda1spXxRnFPKmko27OfLJ-ez4jLnezIv3pKasNfFGWtkxwXpzgvdx_0Iyec4lNGVmz-x7H0yhwCp-j7BGNCWGzS7wf86YC5dTOVVjuMOtgih7GEwmD6W6_JbiiMO2U_H6gtMZjfb1gOEY_b5TfHKQch4-bBfFD8-X236m-ru6_Vtv76rTMPpVHFGKNEWDbacGktt7VAz7kTjhKih4cJh47TRTuA8yiwQAgyxrGscBdqyi-L2xLUR7tWY_B7SUUXw6t9FTFsFafImoJpn152WLWohGmGt1Noxitp0Fltn3cz6dGKNB71Ha3CYEoRn0Ocvg9-pbfytRFdzJpdm3j8AUlx-blJ7nw2GAAPGQ1aU15yKuhOLlJykJsWcE7rHMjVRS9JqSVotSatT0rPl3dP2Hg3_c2V_AVLzqEA</recordid><startdate>20211216</startdate><enddate>20211216</enddate><creator>Lin, Hang</creator><creator>Liang, Ge'ao</creator><creator>Chai, Huiping</creator><creator>Liao, Yongde</creator><creator>Zhang, Chunfang</creator><creator>Cheng, Yuanda</creator><general>Frontiers Media S.A</general><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope><scope>5PM</scope><scope>DOA</scope></search><sort><creationdate>20211216</creationdate><title>Comparison of Two Circular-Stapled Techniques for Esophageal Cancer: A Propensity-Matched Analysis</title><author>Lin, Hang ; Liang, Ge'ao ; Chai, Huiping ; Liao, Yongde ; Zhang, Chunfang ; Cheng, Yuanda</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c462t-63020bdece562cd2d1feb36f84f881a468fe4fbcbf8e006d2d88ac0d374f2a253</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2021</creationdate><topic>anastomotic leakage</topic><topic>anastomotic technique</topic><topic>esophageal cancer</topic><topic>minimally invasive Ivor Lewis esophagectomy</topic><topic>Oncology</topic><topic>thoracoscopic intrathoracic esophagogastric anastomosis</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Lin, Hang</creatorcontrib><creatorcontrib>Liang, Ge'ao</creatorcontrib><creatorcontrib>Chai, Huiping</creatorcontrib><creatorcontrib>Liao, Yongde</creatorcontrib><creatorcontrib>Zhang, Chunfang</creatorcontrib><creatorcontrib>Cheng, Yuanda</creatorcontrib><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><collection>DOAJ Directory of Open Access Journals</collection><jtitle>Frontiers in oncology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Lin, Hang</au><au>Liang, Ge'ao</au><au>Chai, Huiping</au><au>Liao, Yongde</au><au>Zhang, Chunfang</au><au>Cheng, Yuanda</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Comparison of Two Circular-Stapled Techniques for Esophageal Cancer: A Propensity-Matched Analysis</atitle><jtitle>Frontiers in oncology</jtitle><addtitle>Front Oncol</addtitle><date>2021-12-16</date><risdate>2021</risdate><volume>11</volume><spage>759599</spage><epage>759599</epage><pages>759599-759599</pages><issn>2234-943X</issn><eissn>2234-943X</eissn><abstract>The optimal technique for the thoracoscopic construction of an intrathoracic esophagogastric anastomosis continues to be a subject of controversy. The aim of this study was to compare the perioperative outcomes of circular-stapled anastomosis using a transorally inserted anvil (Orvil™) with those of circular-stapled anastomosis using a transthoracically placed anvil (non-Orvil™) in totally minimally invasive Ivor Lewis esophagectomy (Ivor Lewis TMIE).
The data of 272 patients who underwent Ivor Lewis TMIE for esophageal cancer at multiple centers were collected from January 1, 2014 to December 31, 2017. After propensity score matching (1:1) for patient baseline characteristics, 65 paired cases were selected for statistical analysis. Logistic regression analysis was performed to investigate the significant factors of anastomotic leakage.
In the propensity score-matched analysis, compared with the non-Orvil™ group, the Orvil™ group was associated with a significantly shorter operation time (
=0.031), less intraoperative hemorrhage (
<0.001), lower need for intraoperative transfusions (
=0.009), earlier postoperative oral feeding time (
=0.010), longer chest tube duration (
<0.001), shorter postoperative hospital stays (
=0.001), lower total hospitalization costs (
<0.001) and a lower postoperative anastomotic leakage rate (
=0.033). Multivariate logistic regression analysis showed that anastomotic technique and pulmonary infection were independent factors for the development of postoperative anastomotic leakage (
< 0.05).
Orvil™ anastomosis exhibited better perioperative effects than non-Orvil™ anastomosis after the propensity score-matched analysis. Remarkably, the Orvil™ technique contributed to a lower postoperative anastomotic leakage rate than the non-Orvil™ technique.</abstract><cop>Switzerland</cop><pub>Frontiers Media S.A</pub><pmid>34976807</pmid><doi>10.3389/fonc.2021.759599</doi><tpages>1</tpages><oa>free_for_read</oa></addata></record> |
| fulltext | fulltext |
| identifier | ISSN: 2234-943X |
| ispartof | Frontiers in oncology, 2021-12, Vol.11, p.759599-759599 |
| issn | 2234-943X 2234-943X |
| language | eng |
| recordid | cdi_doaj_primary_oai_doaj_org_article_680b7b95eb8848dd9bbf32ebc7de5fdf |
| source | PubMed Central |
| subjects | anastomotic leakage anastomotic technique esophageal cancer minimally invasive Ivor Lewis esophagectomy Oncology thoracoscopic intrathoracic esophagogastric anastomosis |
| title | Comparison of Two Circular-Stapled Techniques for Esophageal Cancer: A Propensity-Matched Analysis |
| url | http://sfxeu10.hosted.exlibrisgroup.com/loughborough?ctx_ver=Z39.88-2004&ctx_enc=info:ofi/enc:UTF-8&ctx_tim=2025-01-06T21%3A29%3A23IST&url_ver=Z39.88-2004&url_ctx_fmt=infofi/fmt:kev:mtx:ctx&rfr_id=info:sid/primo.exlibrisgroup.com:primo3-Article-proquest_doaj_&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.genre=article&rft.atitle=Comparison%20of%20Two%20Circular-Stapled%20Techniques%20for%20Esophageal%20Cancer:%20A%20Propensity-Matched%20Analysis&rft.jtitle=Frontiers%20in%20oncology&rft.au=Lin,%20Hang&rft.date=2021-12-16&rft.volume=11&rft.spage=759599&rft.epage=759599&rft.pages=759599-759599&rft.issn=2234-943X&rft.eissn=2234-943X&rft_id=info:doi/10.3389/fonc.2021.759599&rft_dat=%3Cproquest_doaj_%3E2616281785%3C/proquest_doaj_%3E%3Cgrp_id%3Ecdi_FETCH-LOGICAL-c462t-63020bdece562cd2d1feb36f84f881a468fe4fbcbf8e006d2d88ac0d374f2a253%3C/grp_id%3E%3Coa%3E%3C/oa%3E%3Curl%3E%3C/url%3E&rft_id=info:oai/&rft_pqid=2616281785&rft_id=info:pmid/34976807&rfr_iscdi=true |