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Updated: Oct 6, 2025
09:40
An Ivor Lewis Esophagectomy Designed to Minimize Anastomotic Complications and Optimize Conduit Function
Published on: April 17, 2020
14.0K
Summary
Supervised trainee involvement in oesophagectomy does not worsen patient outcomes. Trainees performing oesophageal surgery showed similar or improved results, including lower mortality for neck anastomoses.
Area of Science:
- Surgical Oncology
- Gastrointestinal Surgery
- Medical Education
Background:
- Oesophagectomy is a complex procedure with significant morbidity risks.
- It is typically performed by consultant surgeons or senior trainees under supervision.
Purpose of the Study:
- To assess the impact of trainee involvement in oesophagectomy on postoperative outcomes.
- To evaluate outcomes in an international multicentre setting.
Main Methods:
- Analysis of prospectively collected data from the Oesophago-Gastric Anastomosis Study Group (OGAA) cohort.
- Comparison of patient outcomes based on the level of trainee involvement in oesophagectomy.
Main Results:
- Trainee involvement in 29.1% of 2232 oesophagectomies showed no significant increase in 90-day mortality, complications, or reoperations for chest anastomoses.
- Trainee involvement was associated with significantly lower 90-day mortality for neck anastomoses and lower anastomotic leak rates.
- Outcomes for neck anastomoses were equivalent in complication, leak, and reoperation rates between trainee and consultant groups.
Conclusions:
- Supervised trainee involvement in oesophagectomy is not associated with inferior postoperative outcomes.
- The findings support the continued participation of trainees in oesophageal cancer surgery under supervision.
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