Esophageal Cancer, Liver Cirrhosis
Conditions
Keywords
esophagectomy
Brief summary
Retrospective and confounder adjusted comparison of perioperative and longterm outcomes of patients requiring an esophagectomy for esophageal cancer with and without concomitant liver cirrhosis.
Interventions
retrospective comparison of esophagectomy for esophageal cancer in patients with or without concomitant liver cirrhosis
Sponsors
Study design
Eligibility
Inclusion criteria
* age ≥ 18 years * primary esophageal cancer with indication for curative treatment * follow up period ≥ 5 years * LC cohort: pre- or intraoperative histological proof of liver cirrhosis
Exclusion criteria
* recurrent esophageal cancer * missing indication for curative treatment of esophageal cancer * esophagectomy for benign esophageal lesions
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Long-term survival | 5 years |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Anastomotic leakage rate | 90 days postoperatively | Rate of endoscopically diagnosed anastomotic leakage |
| Sepsis rate | 90 days postoperatively | Rate of participants with ≥ 2 points in Sepsis-related organ failure (SOFA) score within hospital stay |
| Renal failure rate | 90 days postoperatively | Rate of acute kidney insufficiency (AKI) II-III (AKI Kidney Disease: Improving Global Outcomes (KDIGO) Guidelines) |
| Major complication | 90 days postoperatively | Clavin Dindo ≥ 3 |
| Cardiac complication | 90 days postoperatively | cardiac complication requiring pharmacological treatment or intervention and / or ICU surveillance |
| Chylus fistula rate | 90 days postoperatively | Concentration of triglycerides (TG) in drain fluids ≥ 3 times TGs i.s. |
| Pulmonary complications | 90 days postoperatively | Pneumonia requiring antibiotics, ventilatory insufficiency requiring supportive therapy |
| Hepatic failure rate | 90 days postoperatively | Number of participants with clinical diagnosis: coagulopathy, icterus and potentially hepatic encephalopathy |
Countries
Germany