From: Endoscopic vacuum therapy for postoperative esophageal leak
Variables | < 21 days (n = 12) | ≥ 21 days (n = 8) | p-value |
---|---|---|---|
Patients | |||
Male | 12 (100.0) | 8 (100.0) | |
Age, years | 67 (57–76) | 63 (53–77) | 0.34 |
CCI point | 0.16 | ||
0 | 10 (83.3) | 4 (50.0) | |
1–3 | 2 (16.7) | 4 (50.0) | |
Neoadjuvant treatment | 0.02 | ||
No | 9 (75.0) | 1 (12.5) | |
Yes | 3 (25.0) | 7 (87.5) | |
Operation | 0.18 | ||
Ivor-Lewis operation | 4 (33.3) | 3 (37.5) | |
3-field lymph node dissection | 3 (25.0) | 5 (62.5) | |
McKeown operation | 4 (33.3) | 0 | |
Transhiatal esophagectomy | 1 (8.3) | 0 | |
Level of anastomosis | 0.16 | ||
Intrathoracic anastomosis | 6 (50.0) | 7 (87.5) | |
Cervical anastomosis | 6 (50.0) | 1 (12.5) | |
Anastomotic leak | |||
Time to diagnosis, days | 13 (5–35) | 13 (5–24) | 0.62 |
Fistula size, cm | 1.0 (0.5–3.0) | 2.0 (0.8–3.0) | 0.05 |
Mucosal ischemia on EGD | 9 (75.0) | 7 (87.5) | 0.62 |
EVAC treatment | |||
Time to treatment, days | 3 (0–24) | 3 (0–9) | 0.52 |
Duration of EVAC, days | 8 (4–18) | 26 (21–56) | 0.00 |
Interventions | 3 (2–6) | 8 (5–12) | < 0.01 |
Treatment failure | 0 | 1 (12.5) | 0.40 |
Hospital stay, days | 45 (19–90) | 59 (29–84) | 0.08 |
Mortality | 0 | 1 (12.5) | 0.40 |