Anastomotic Leak and Perioperative Outcomes of Esophagectomy for Esophageal Cancer during the COVID-19 Pandemic: A Systematic Review and Meta-Analysis.
Τίτλος | Anastomotic Leak and Perioperative Outcomes of Esophagectomy for Esophageal Cancer during the COVID-19 Pandemic: A Systematic Review and Meta-Analysis. |
Publication Type | Journal Article |
Year of Publication | 2023 |
Authors | Geropoulos, G., Moschonas S., Fanariotis G., Koltsida A., Madouros N., Koumadoraki E., Triantafyllidis K. Katsikas, Kechagias K. S., Koimtzis G., Giannis D., Notopoulos A., Pavlidis E. T., & Psarras K. |
Journal | Medicina (Kaunas) |
Volume | 60 |
Issue | 1 |
Date Published | 2023 Dec 24 |
ISSN | 1648-9144 |
Λέξεις κλειδιά | Anastomotic Leak, COVID-19, Esophageal Neoplasms, Esophagectomy, Humans, Pandemics |
Abstract | : The coronavirus disease-2019 (COVID-19) pandemic influenced the healthcare system tremendously, as well as the number of elective surgical procedures worldwide. The aim of this study is to investigate the COVID-19 pandemic's impact on esophagectomies. : The MEDLINE (via PubMed), Cochrane Library, and Google Scholar bibliographical databases were systematically searched. Original clinical studies investigating the outcomes of esophageal cancer surgery during the COVID-19 pandemic were deemed eligible. After exclusion criteria were applied, eight studies were considered eligible for inclusion. : Eight studies with non-overlapping populations, reporting on patients undergoing esophagectomy for resectable esophageal cancer during the COVID-19 pandemic, were included in our analysis, with a total of 18548 patients. Background characteristics for age, lung disease, smoking history as well as Body Mass Index and age were equal among the groups. The background of diabetes presented a statistically significant difference among the groups. Perioperative outcomes like reoperation rates, the length of intensive care unit stay, or readmission rates were not significantly increased during the pandemic. The 30-day readmission, and 30- and 90-day mortality were not affected either. The length of hospital stay was significantly lower in the non-pandemic period. : The results of our study support the evidence that in the context of the COVID-19 pandemic, esophageal cancer operations took place safely and effectively, similarly to the standards of the non-COVID-19 era. |
DOI | 10.3390/medicina60010031 |
Alternate Journal | Medicina (Kaunas) |
PubMed ID | 38256292 |
PubMed Central ID | PMC10818348 |