Table 3.
Thirty-day perioperative complications in patients who underwent esophagectomy for malignancy in the American College of Surgeons National Surgical Quality Improvement Program database from January 2005 through December 2020
| Thirty-day perioperative complications | Total | Non-emergent esophagectomy | Emergent esophagectomy |
|---|---|---|---|
| No. of patients | 10,067 | 9,886 | 181 |
| Bleeding requiring transfusion | 1,343 (13.34) | 1,290 (13.05) | 53 (29.28) |
| Anastomotic leaka) | 428 (14.13) | 423 (14.13) | 5 (14.29) |
| Wound disruption | 122 (1.21) | 117 (1.18) | 5 (2.76) |
| Positive resection marginsa) | 216 (7.54) | 210 (7.42) | 6 (17.65) |
| Proximal esophagus | 62 (2.16) | 62 (2.19) | 0 |
| Radial | 68 (2.37) | 67 (2.37) | 1 (2.94) |
| Distal/gastric | 41 (1.43) | 40 (1.41) | 1 (2.94) |
| Other description/combination | 45 (1.57) | 41(1.45) | 4 (11.76) |
| Infectious complications | |||
| Surgical site infection | |||
| Superficial | 598 (5.94) | 584 (5.91) | 14 (7.73) |
| Deep | 170 (1.69) | 165 (1.67) | 5 (2.76) |
| Organ space | 888 (8.82) | 870 (8.80) | 18 (9.94) |
| Sepsis | 678 (6.73) | 655 (6.63) | 23 (12.71) |
| Septic shock | 616 (6.12) | 591 (5.98) | 25 (13.81) |
| Respiratory complications | |||
| Pneumonia | 1,620 (16.09) | 1,579 (15.97) | 41 (22.65) |
| Pulmonary embolism | 204 (2.03) | 198 (2.00) | 6 (3.31) |
| Unplanned intubation | 1,238 (12.30) | 1,201 (12.15) | 37 (20.44) |
| Prolonged intubation >48 hours | 1,146 (11.38) | 1,111 (11.24) | 35 (19.34) |
| Cardiovascular and thromboembolic complications | |||
| DVT/thrombophlebitis | 319 (3.17) | 308 (3.12) | 11 (6.08) |
| Cardiac arrest | 179 (1.78) | 173 (1.75) | 6 (3.31) |
| Myocardial infarction | 111 (1.10) | 107 (1.08) | 4 (2.21) |
| CVA with neurological deficit | 35 (0.35) | 33 (0.33) | 2 (1.10) |
| Genitourinary complications | |||
| Urinary tract infection | 245 (2.43) | 239 (2.42) | 6 (3.31) |
| Acute renal failure | 130 (1.29) | 127 (1.28) | 3 (1.66) |
| Progressive renal insufficiency | 67 (0.67) | 63 (0.64) | 4 (2.21) |
Values are presented as number or number (%) for categorical variables.
DVT, deep venous thrombosis; CVA, cerebrovascular accident.
a)Data reported for patients who underwent esophagectomy between 2016 and 2020 (2,866 patients).