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01-05-2016 | Original Scientific Report

Surgical Apgar Score Predicted Postoperative Morbidity After Esophagectomy for Esophageal Cancer

Authors: Kojiro Eto, Naoya Yoshida, Masaaki Iwatsuki, Junji Kurashige, Satoshi Ida, Takatsugu Ishimoto, Yoshifumi Baba, Yasuo Sakamoto, Yuji Miyamoto, Masayuki Watanabe, Hideo Baba

Published in: World Journal of Surgery | Issue 5/2016

Abstract

Background

Recently, a simple and easy complication prediction system, the Surgical Apgar Sore (SAS) calculated by three intraoperative parameters (estimated blood loss, lowest mean arterial pressure, and lowest heart rate), has been proposed for general surgery. This study aimed to determine if the SAS could accurately predict perioperative morbidity in patients undergoing esophagectomy for esophageal cancer.

Methods

We investigated 399 patients who underwent esophagectomy at the Kumamoto University Hospital between April 2007 and March 2015. Clinical data, including intraoperative parameters, were collected retrospectively. Patients had postoperative morbidities classified as Clavien–Dindo grade III or more. Univariate and multivariate analyses were performed to elucidate factors that affected the development of complications.

Results

The mean age of the study population was 65.7 years, 357 patients (89.5 %) were male. The frequency of any morbidity was 32.3 %. Univariate analyses showed that the SAS as well as preoperative chemotherapy, volume of bleeding, and reconstruction of organs were associated with morbidities. Multivariate analysis showed that a SAS < 5 was found to be an independent risk factor for morbidities.

Conclusion

The SAS is considered to be useful for predicting the development of postoperative morbidities after esophagectomy for esophageal cancer.

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Title: Surgical Apgar Score Predicted Postoperative Morbidity After Esophagectomy for Esophageal Cancer
Authors: Kojiro Eto
Naoya Yoshida
Masaaki Iwatsuki
Junji Kurashige
Satoshi Ida
Takatsugu Ishimoto
Yoshifumi Baba
Yasuo Sakamoto
Yuji Miyamoto
Masayuki Watanabe
Hideo Baba
Publication date: 01-05-2016
Publisher: Springer International Publishing
Published in: World Journal of Surgery / Issue 5/2016
Print ISSN: 0364-2313
Electronic ISSN: 1432-2323
DOI: https://doi.org/10.1007/s00268-016-3425-1

Keynote webinar | Spotlight on sleep in brain health

Springer Medicine

Surgical Apgar Score Predicted Postoperative Morbidity After Esophagectomy for Esophageal Cancer

Abstract

Background

Methods

Results

Conclusion

Keynote webinar | Spotlight on sleep in brain health

Springer Medicine

Abstract

Background

Methods

Results

Conclusion

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