Impact of Minimally Invasive Esophagectomy in Post-Operative Atrial Fibrillation and Long-Term Mortality in Patients Among Esophageal Cancer
Aims: Postoperative Atrial fibrillation (POAF) after esophagectomy may prolong stay in intensive care and increase risk of perioperative complications. A minimally invasive approach is becoming the preferred option for esophagectomy, yet its implications for POAF risk remains unclear. The associatio...
| Main Authors: | , , , |
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| Format: | Article |
| Language: | English |
| Published: |
SAGE Publishing
2020-11-01
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| Series: | Cancer Control |
| Online Access: | https://doi.org/10.1177/1073274820974013 |
| _version_ | 1797772236177801216 |
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| author | LaiTe Chen MD BinBin Li MD ChenYang Jiang MD GuoSheng Fu MD |
| author_facet | LaiTe Chen MD BinBin Li MD ChenYang Jiang MD GuoSheng Fu MD |
| author_sort | LaiTe Chen MD |
| collection | DOAJ |
| description | Aims: Postoperative Atrial fibrillation (POAF) after esophagectomy may prolong stay in intensive care and increase risk of perioperative complications. A minimally invasive approach is becoming the preferred option for esophagectomy, yet its implications for POAF risk remains unclear. The association between POAF and minimally invasive esophagectomy (MIE) was examined in this study. Methods: We used a dataset of 575 patients who underwent esophagectomy. Multivariate logistic regression analysis was performed to examine the association between MIE and POAF. A cox proportional hazards model was applied to assess the long-term mortality (MIE vs open esophagectomy, OE). Results: Of the 575 patients with esophageal cancer, 62 developed POAF. MIE was negatively associated with the occurrence of POAF (Odds ratio: 0.163, 95%CI: 0.033-0.801). No significant difference was observed in long-term mortality (Odds ratio: 2.144, 95%CI: 0.963-4.775). Conclusions: MIE may reduced the incidence of POAF without compromising the survival of patients with esophageal cancer. Moreover, the specific mechanism of MIE providing this possible advantage needs to be determined by larger prospective cohort studies with specific biomarker information from laboratory tests. |
| first_indexed | 2024-03-12T21:48:11Z |
| format | Article |
| id | doaj.art-5dabce13cdfd49719a273c3b4d895dcb |
| institution | Directory Open Access Journal |
| issn | 1073-2748 |
| language | English |
| last_indexed | 2024-03-12T21:48:11Z |
| publishDate | 2020-11-01 |
| publisher | SAGE Publishing |
| record_format | Article |
| series | Cancer Control |
| spelling | doaj.art-5dabce13cdfd49719a273c3b4d895dcb2023-07-26T07:08:34ZengSAGE PublishingCancer Control1073-27482020-11-012710.1177/1073274820974013Impact of Minimally Invasive Esophagectomy in Post-Operative Atrial Fibrillation and Long-Term Mortality in Patients Among Esophageal CancerLaiTe Chen MD0BinBin Li MD1ChenYang Jiang MD2GuoSheng Fu MD3 Department of Cardiology of Sir Run Run Shaw Hospital, , Hangzhou, Zhejiang province, China YongJia County People’s Hospital, Wenzhou, China Department of Cardiology of Sir Run Run Shaw Hospital, , Hangzhou, Zhejiang province, China Department of Cardiology of Sir Run Run Shaw Hospital, , Hangzhou, Zhejiang province, ChinaAims: Postoperative Atrial fibrillation (POAF) after esophagectomy may prolong stay in intensive care and increase risk of perioperative complications. A minimally invasive approach is becoming the preferred option for esophagectomy, yet its implications for POAF risk remains unclear. The association between POAF and minimally invasive esophagectomy (MIE) was examined in this study. Methods: We used a dataset of 575 patients who underwent esophagectomy. Multivariate logistic regression analysis was performed to examine the association between MIE and POAF. A cox proportional hazards model was applied to assess the long-term mortality (MIE vs open esophagectomy, OE). Results: Of the 575 patients with esophageal cancer, 62 developed POAF. MIE was negatively associated with the occurrence of POAF (Odds ratio: 0.163, 95%CI: 0.033-0.801). No significant difference was observed in long-term mortality (Odds ratio: 2.144, 95%CI: 0.963-4.775). Conclusions: MIE may reduced the incidence of POAF without compromising the survival of patients with esophageal cancer. Moreover, the specific mechanism of MIE providing this possible advantage needs to be determined by larger prospective cohort studies with specific biomarker information from laboratory tests.https://doi.org/10.1177/1073274820974013 |
| spellingShingle | LaiTe Chen MD BinBin Li MD ChenYang Jiang MD GuoSheng Fu MD Impact of Minimally Invasive Esophagectomy in Post-Operative Atrial Fibrillation and Long-Term Mortality in Patients Among Esophageal Cancer Cancer Control |
| title | Impact of Minimally Invasive Esophagectomy in Post-Operative Atrial Fibrillation and Long-Term Mortality in Patients Among Esophageal Cancer |
| title_full | Impact of Minimally Invasive Esophagectomy in Post-Operative Atrial Fibrillation and Long-Term Mortality in Patients Among Esophageal Cancer |
| title_fullStr | Impact of Minimally Invasive Esophagectomy in Post-Operative Atrial Fibrillation and Long-Term Mortality in Patients Among Esophageal Cancer |
| title_full_unstemmed | Impact of Minimally Invasive Esophagectomy in Post-Operative Atrial Fibrillation and Long-Term Mortality in Patients Among Esophageal Cancer |
| title_short | Impact of Minimally Invasive Esophagectomy in Post-Operative Atrial Fibrillation and Long-Term Mortality in Patients Among Esophageal Cancer |
| title_sort | impact of minimally invasive esophagectomy in post operative atrial fibrillation and long term mortality in patients among esophageal cancer |
| url | https://doi.org/10.1177/1073274820974013 |
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