Surgical Apgar Score Predicted Postoperative Morbidity After Esophagectomy for Esophageal Cancer
Kojiro Eto
Department of Gastroenterological Surgery, Graduate School of Medical Sciences, Kumamoto University, 1-1-1 Honjo, 860-8556 Kumamoto, Japan
Search for more papers by this authorNaoya Yoshida
Department of Gastroenterological Surgery, Graduate School of Medical Sciences, Kumamoto University, 1-1-1 Honjo, 860-8556 Kumamoto, Japan
Search for more papers by this authorMasaaki Iwatsuki
Department of Gastroenterological Surgery, Graduate School of Medical Sciences, Kumamoto University, 1-1-1 Honjo, 860-8556 Kumamoto, Japan
Search for more papers by this authorJunji Kurashige
Department of Gastroenterological Surgery, Graduate School of Medical Sciences, Kumamoto University, 1-1-1 Honjo, 860-8556 Kumamoto, Japan
Search for more papers by this authorSatoshi Ida
Department of Gastroenterological Surgery, Graduate School of Medical Sciences, Kumamoto University, 1-1-1 Honjo, 860-8556 Kumamoto, Japan
Search for more papers by this authorTakatsugu Ishimoto
Department of Gastroenterological Surgery, Graduate School of Medical Sciences, Kumamoto University, 1-1-1 Honjo, 860-8556 Kumamoto, Japan
Search for more papers by this authorYoshifumi Baba
Department of Gastroenterological Surgery, Graduate School of Medical Sciences, Kumamoto University, 1-1-1 Honjo, 860-8556 Kumamoto, Japan
Search for more papers by this authorYasuo Sakamoto
Department of Gastroenterological Surgery, Graduate School of Medical Sciences, Kumamoto University, 1-1-1 Honjo, 860-8556 Kumamoto, Japan
Search for more papers by this authorYuji Miyamoto
Department of Gastroenterological Surgery, Graduate School of Medical Sciences, Kumamoto University, 1-1-1 Honjo, 860-8556 Kumamoto, Japan
Search for more papers by this authorMasayuki Watanabe
Department of Gastroenterological Surgery, Cancer Institute Hospital, 3-8-31, Ariake, Koto-ku, 135-8550 Tokyo, Japan
Search for more papers by this authorCorresponding Author
Hideo Baba
- [email protected]
- +81-96-373-5211
Department of Gastroenterological Surgery, Graduate School of Medical Sciences, Kumamoto University, 1-1-1 Honjo, 860-8556 Kumamoto, Japan
Tel.: +81-96-373-5211, [email protected]Search for more papers by this authorKojiro Eto
Department of Gastroenterological Surgery, Graduate School of Medical Sciences, Kumamoto University, 1-1-1 Honjo, 860-8556 Kumamoto, Japan
Search for more papers by this authorNaoya Yoshida
Department of Gastroenterological Surgery, Graduate School of Medical Sciences, Kumamoto University, 1-1-1 Honjo, 860-8556 Kumamoto, Japan
Search for more papers by this authorMasaaki Iwatsuki
Department of Gastroenterological Surgery, Graduate School of Medical Sciences, Kumamoto University, 1-1-1 Honjo, 860-8556 Kumamoto, Japan
Search for more papers by this authorJunji Kurashige
Department of Gastroenterological Surgery, Graduate School of Medical Sciences, Kumamoto University, 1-1-1 Honjo, 860-8556 Kumamoto, Japan
Search for more papers by this authorSatoshi Ida
Department of Gastroenterological Surgery, Graduate School of Medical Sciences, Kumamoto University, 1-1-1 Honjo, 860-8556 Kumamoto, Japan
Search for more papers by this authorTakatsugu Ishimoto
Department of Gastroenterological Surgery, Graduate School of Medical Sciences, Kumamoto University, 1-1-1 Honjo, 860-8556 Kumamoto, Japan
Search for more papers by this authorYoshifumi Baba
Department of Gastroenterological Surgery, Graduate School of Medical Sciences, Kumamoto University, 1-1-1 Honjo, 860-8556 Kumamoto, Japan
Search for more papers by this authorYasuo Sakamoto
Department of Gastroenterological Surgery, Graduate School of Medical Sciences, Kumamoto University, 1-1-1 Honjo, 860-8556 Kumamoto, Japan
Search for more papers by this authorYuji Miyamoto
Department of Gastroenterological Surgery, Graduate School of Medical Sciences, Kumamoto University, 1-1-1 Honjo, 860-8556 Kumamoto, Japan
Search for more papers by this authorMasayuki Watanabe
Department of Gastroenterological Surgery, Cancer Institute Hospital, 3-8-31, Ariake, Koto-ku, 135-8550 Tokyo, Japan
Search for more papers by this authorCorresponding Author
Hideo Baba
- [email protected]
- +81-96-373-5211
Department of Gastroenterological Surgery, Graduate School of Medical Sciences, Kumamoto University, 1-1-1 Honjo, 860-8556 Kumamoto, Japan
Tel.: +81-96-373-5211, [email protected]Search for more papers by this authorAbstract
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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