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Is Esophagectomy for Benign Conditions Benign?
Khalil Masabni1, Pridvi Kandagatla1, Andrew M Popoff2
1Department of Surgery, Henry Ford Health System/Wayne State University, Detroit, Michigan.
Esophagectomy for benign conditions is linked to increased complications and longer hospital stays compared to malignant cases. Caution is advised when using colon/intestine conduits for reconstruction due to higher risks.
Area of Science:
- Surgery
- Gastroenterology
- Surgical Outcomes
Background:
- Outcomes data for esophagectomy in benign conditions are limited.
- The National Surgical Quality Improvement Program (NSQIP) database is a valuable resource for analyzing surgical outcomes.
Purpose of the Study:
- To analyze the outcomes of esophagectomy performed for benign conditions.
- To compare outcomes of benign esophagectomy with those for malignant conditions.
Main Methods:
- The NSQIP database was queried for esophagectomies performed between 2005 and 2015.
- Outcomes for benign conditions were analyzed and compared to malignant conditions.
Main Results:
- Esophagectomy for benign conditions was more likely to be emergent and associated with longer hospital stays and higher rates of severe complications (Clavien-Dindo grade IV).
- Mortality rates were similar (4%) for both benign and malignant conditions.
- Colon/intestine reconstruction for benign conditions led to increased severe complications, surgical wound infections, and mortality compared to gastric conduits.
Conclusions:
- Esophagectomy for benign conditions is associated with significant morbidity.
- The site of anastomosis does not impact outcomes.
- The use of colon/intestine conduits for reconstruction in benign esophagectomy warrants caution due to increased risks.
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