Related Experiment Videos
[Early extubation vs. late extubation after esophagus resection: a randomized, prospective study]
H Bartels1, H J Stein, J R Siewert
1Chirurgische Klinik und Poliklinik, Klinikum rechts der Isar, Technische Universität München.
Unlabelled:
In the present study, so far 131 patients with transmediastinal esophagectomy and 104 patients with transthoracic esophagectomy were investigated concerning clinical results (complication rate/mortality) following early extubation (within 6 h postoperatively) or prolonged ventilation (> 24 h). Age tumor stage and risk profile did not differ between the two patient groups.
Results:
Following transmediastinal esophagectomy, early extubation is superior concerning "stay in the ICU" (7.1 days vs 12.3 days) and complication rate (13.4% vs 32.8%). In contrast, following transthoracic esophagectomy, hospital lethality increases after early extubation (9.8% vs 1.9%).