Fractures and other chest wall abnormalities after thoracotomy for esophageal cancer : A retrospective cohort study
© 2024 The Authors. World Journal of Surgery published by John Wiley & Sons Ltd on behalf of International Society of Surgery/Société Internationale de Chirurgie (ISS/SIC)..
BACKGROUND: Chest pain following a thoracotomy for esophageal cancer is frequently reported but poorly understood. This study aimed to (1) determine the prevalence of thoracotomy-related thoracic fractures on postoperative imaging and (2) compare complications, long-term pain, and quality of life in patients with versus without these fractures.
METHODS: This retrospective cohort study enrolled patients with esophageal cancer who underwent a thoracotomy between 2010 and 2020 with pre- and postoperative CTs (<1 and/or >6 months). Disease-free patients were invited for questionnaires on pain and quality of life.
RESULTS: Of a total of 366 patients, thoracotomy-related rib fractures were seen in 144 (39%) and thoracic transverse process fractures in 4 (2%) patients. Patients with thoracic fractures more often developed complications (89% vs. 74%, p = 0.002), especially pneumonia (51% vs. 39%, p = 0.032). Questionnaires were completed by 77 after a median of 41 (P25 -P75 28-91) months. Long-term pain was frequently (63%) reported but was not associated with thoracic fractures (p = 0.637), and neither were quality of life scores.
CONCLUSIONS: Thoracic fractures are prevalent in patients following a thoracotomy for esophageal cancer. These thoracic fractures were associated with an increased risk of postoperative complications, especially pneumonia, but an association with long-term pain or reduced quality of life was not confirmed.
| Medienart: |
E-Artikel |
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| Erscheinungsjahr: |
2024 |
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| Erschienen: |
2024 |
| Enthalten in: |
Zur Gesamtaufnahme - volume:48 |
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| Enthalten in: |
World journal of surgery - 48(2024), 3 vom: 08. März, Seite 662-672 |
| Sprache: |
Englisch |
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| Beteiligte Personen: |
Van Wijck, Suzanne F M [VerfasserIn] |
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| Links: |
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| Themen: |
Chest wall injury |
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| Anmerkungen: |
Date Completed 07.03.2024 Date Revised 07.03.2024 published: Print-Electronic Citation Status MEDLINE |
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| doi: |
10.1002/wjs.12083 |
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| funding: |
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| Förderinstitution / Projekttitel: |
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| PPN (Katalog-ID): |
NLM367951312 |
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| 100 | 1 | |a Van Wijck, Suzanne F M |e verfasserin |4 aut | |
| 245 | 1 | 0 | |a Fractures and other chest wall abnormalities after thoracotomy for esophageal cancer |b A retrospective cohort study |
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| 500 | |a Date Revised 07.03.2024 | ||
| 500 | |a published: Print-Electronic | ||
| 500 | |a Citation Status MEDLINE | ||
| 520 | |a © 2024 The Authors. World Journal of Surgery published by John Wiley & Sons Ltd on behalf of International Society of Surgery/Société Internationale de Chirurgie (ISS/SIC). | ||
| 520 | |a BACKGROUND: Chest pain following a thoracotomy for esophageal cancer is frequently reported but poorly understood. This study aimed to (1) determine the prevalence of thoracotomy-related thoracic fractures on postoperative imaging and (2) compare complications, long-term pain, and quality of life in patients with versus without these fractures | ||
| 520 | |a METHODS: This retrospective cohort study enrolled patients with esophageal cancer who underwent a thoracotomy between 2010 and 2020 with pre- and postoperative CTs (<1 and/or >6 months). Disease-free patients were invited for questionnaires on pain and quality of life | ||
| 520 | |a RESULTS: Of a total of 366 patients, thoracotomy-related rib fractures were seen in 144 (39%) and thoracic transverse process fractures in 4 (2%) patients. Patients with thoracic fractures more often developed complications (89% vs. 74%, p = 0.002), especially pneumonia (51% vs. 39%, p = 0.032). Questionnaires were completed by 77 after a median of 41 (P25 -P75 28-91) months. Long-term pain was frequently (63%) reported but was not associated with thoracic fractures (p = 0.637), and neither were quality of life scores | ||
| 520 | |a CONCLUSIONS: Thoracic fractures are prevalent in patients following a thoracotomy for esophageal cancer. These thoracic fractures were associated with an increased risk of postoperative complications, especially pneumonia, but an association with long-term pain or reduced quality of life was not confirmed | ||
| 650 | 4 | |a Journal Article | |
| 650 | 4 | |a chest wall injury | |
| 650 | 4 | |a chronic pain | |
| 650 | 4 | |a quality of life | |
| 650 | 4 | |a rib fractures | |
| 650 | 4 | |a thoracotomy | |
| 700 | 1 | |a Barza, Athiná |e verfasserin |4 aut | |
| 700 | 1 | |a Vermeulen, Jefrey |e verfasserin |4 aut | |
| 700 | 1 | |a Eyck, Ben M |e verfasserin |4 aut | |
| 700 | 1 | |a Van der Wilk, Berend J |e verfasserin |4 aut | |
| 700 | 1 | |a Van der Harst, Erwin |e verfasserin |4 aut | |
| 700 | 1 | |a Verhofstad, Michael H J |e verfasserin |4 aut | |
| 700 | 1 | |a Lagarde, Sjoerd M |e verfasserin |4 aut | |
| 700 | 1 | |a Van Lieshout, Esther M M |e verfasserin |4 aut | |
| 700 | 1 | |a Wijffels, Mathieu M E |e verfasserin |4 aut | |
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