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Anastomotic Leak and Perioperative Outcomes of Esophagectomy for Esophageal Cancer during the COVID-19 Pandemic: A Systematic Review and Meta-Analysis.

ΤίτλοςAnastomotic Leak and Perioperative Outcomes of Esophagectomy for Esophageal Cancer during the COVID-19 Pandemic: A Systematic Review and Meta-Analysis.
Publication TypeJournal Article
Year of Publication2023
AuthorsGeropoulos, 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.
JournalMedicina (Kaunas)
Volume60
Issue1
Date Published2023 Dec 24
ISSN1648-9144
Λέξεις κλειδιάAnastomotic 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.

DOI10.3390/medicina60010031
Alternate JournalMedicina (Kaunas)
PubMed ID38256292
PubMed Central IDPMC10818348

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