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Surgery Today
Erschienen in: Surgery Today 3/2015

01.03.2015 | Original Article

An original scoring system for predicting postoperative morbidity after esophagectomy for esophageal cancer

Erschienen in: Surgery Today | Ausgabe 3/2015

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Abstract

Purpose

Postoperative morbidity remains common after esophagectomy. There are currently few tools that can be used to estimate the incidence of complications. This study aimed to create a novel scoring system for predicting postoperative morbidity.

Methods

A total of 365 patients who underwent elective esophagectomy with two- or three-field lymphadenectomy for esophageal cancer were retrospectively analyzed. Patients were divided into development (n = 250) and validation datasets (n = 115). A scoring system was established by specifying the expected morbidity incidence values for all independent predictors in the development dataset, after which, the reproducibility was confirmed in the validation dataset.

Results

The incidence of any morbidity was 44.7 %. Male sex, severe emaciation (body mass index <18), a lower performance status (grade 1 or 2), operation ≥540 min and massive bleeding (blood loss/body weight ≥20) were independent predictors of postoperative morbidity. The total of all predictive scores was calculated. The incidence of any morbidity and of severe morbidity (Clavien–Dindo classification ≥IIIb) significantly correlated with the score after dividing the scores into three groups (≤8, 10 and 11 and ≥13). This finding was also confirmed in the validation dataset.

Conclusion

The current scoring system is considered to be useful for predicting postoperative morbidity after esophagectomy.
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Metadaten
Titel
An original scoring system for predicting postoperative morbidity after esophagectomy for esophageal cancer
Publikationsdatum
01.03.2015
Erschienen in
Surgery Today / Ausgabe 3/2015
Print ISSN: 0941-1291
Elektronische ISSN: 1436-2813
DOI
https://doi.org/10.1007/s00595-014-0958-5

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