Table 3.
Postoperative complications after esophagectomy for cancer, stratified by nutritional jejunostomy
| n (%) | No jejunostomy | Jejunostomy | P value |
|---|---|---|---|
| Postoperative complication | 330 (39.0) | 454 (44.4) | 0.019 |
| Surgical complication | 223 (26.3) | 282 (27.5) | 0.557 |
| Anastomotic leak | 78 (10.5) | 115 (12.6) | 0.195 |
| Gastric conduit necrosis | 16 (1.9) | 31 (3.0) | 0.117 |
| Postoperative bleeding | 17 (2.0) | 15 (1.5) | 0.368 |
| Chylothorax | 26 (3.1) | 26 (2.5) | 0.487 |
| Thoracic abscess | 21 (2.5) | 39 (3.8) | 0.104 |
| Abdominal abscess | 11 (1.3) | 13 (1.3) | 0.955 |
| Re-operation for any cause | 27 (3.2) | 30 (2.9) | 0.746 |
| Recurrent laryngeal nerve paralysis | 21 (2.5) | 44 (4.3) | 0.033 |
| Non-surgical complication | 188 (22.2) | 305 (29.8) | < 0.001 |
| Cardiovascular complication | 39 (4.6) | 66 (6.5) | 0.085 |
| Pulmonary embolism | 16 (1.9) | 31 (3.0) | 0.117 |
| Pneumonia | 61 (7.2) | 121 (11.8) | 0.001 |
| Septicemia | 38 (4.5) | 66 (6.5) | 0.066 |
| Clavien-Dindo score | 0.163 | ||
| I | 46 (18.5) | 59 (18.2) | |
| II | 74 (29.7) | 110 (34.0) | |
| IIIa | 46 (18.5) | 35 (10.8) | |
| IIIb | 47 (18.9) | 56 (17.3) | |
| IVa | 23 (9.2) | 40 (12.4) | |
| IVb | 6 (2.4) | 10 (3.1) | |
| V | 7 (2.8) | 14 (4.3) | |
| Unknown | 81 | 130 | |
| Clavien-Dindo score ≥ IIIb | 83 (33.3) | 120 (37.0) | 0.358 |
| Median length of hospital stay in days (IQR) | 15 (10–23) | 16 (12–24) | 0.032 |
| 30-day mortality | 14 (1.7) | 22 (2.2) | 0.437 |
| 90-day mortality | 58 (6.9) | 52 (5.1) | 0.105 |
| Open jejunostomy | Laparoscopic jejunostomy | ||
| Total | 852 (83.2) | 172 (16.8) | |
| Postoperative complication | 378 (44.4) | 76 (44.2) | 0.965 |
| Surgical complication | 228 (26.8) | 282 (27.5) | 0.557 |
| Re-operation for any cause | 26 (3.1) | 4 (2.3) | 0.607 |
| Abdominal abscess | 11 (1.3) | 2 (1.2) | 0.891 |
| Clavien-Dindo score ≥ IIIb | 79 (38.2) | 41 (35.0) | 0.576 |