Impact of Arterial Partial Pressure of Oxygen on Anastomotic Leakage After Esophagectomy

NCT ID: NCT07309991

Last Updated: 2025-12-30

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

COMPLETED

Total Enrollment

2083 participants

Study Classification

OBSERVATIONAL

Study Start Date

2021-01-01

Study Completion Date

2025-12-01

Brief Summary

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This study aims to determine whether postoperative hypoxia (arterial partial pressure of oxygen (PaO₂)\<80 mmHg) is an independent risk factor for anastomotic leakage after esophagectomy. We conducted a retrospective analysis of cases from our center over the past five years, stratifying patients into Low Pa0₂ Group and Normal Pa0₂ Group based on postoperative oxygen levels and comparing the incidence of anastomotic leakage between the groups. The goal is to establish whether hypoxia is a causative risk factor and whether correcting it can reduce the risk of anastomotic leakage.

Detailed Description

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This retrospective study included all patients who underwent radical esophagectomy at our center over the past five years. After screening based on inclusion and exclusion criteria, PaO₂ levels within the first postoperative week were recorded (the lowest value was used if multiple measurements were taken on the same day), along with whether the condition improved after corrective interventions, patients were accordingly divided into Low Pa0₂ Group (at least one recorded instance of PaO₂ \<80 mmHg) and Normal Pa0₂ Group. Anastomotic leakage was diagnosed based on barium swallow, endoscopy, chest-abdominal CT, or typical clinical signs. By comparing the incidence of anastomotic leakage between the two groups, the relationship between postoperative PaO₂ and anastomotic leakage was analyzed, with further investigation into whether postoperative hypoxemia constitutes an independent and modifiable risk factor.

Conditions

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Esophageal Carcinoma Esophageal Adenocarcinoma Esophagectomy PaO2 Esophageal Anastomotic Leakeage

Keywords

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Effect of Postoperative PaO₂ on Anastomotic Leakage Following Esophagectomy

Study Design

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Observational Model Type

COHORT

Study Time Perspective

RETROSPECTIVE

Study Groups

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Low Pa02 Group

Patients were defined as belonging to the Low PaO₂ group if they exhibited at least one recorded instance of PaO₂ \<80 mmHg within the first postoperative week.

No interventions assigned to this group

Normal PaO2 Group

Patients maintained a PaO₂ ≥80 mmHg throughout the first postoperative week.

No interventions assigned to this group

Eligibility Criteria

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Exclusion Criteria

* We excluded patients who did not require esophageal reconstruction, those undergoing esophageal replacement with colon, and those with incomplete data.
Minimum Eligible Age

18 Years

Maximum Eligible Age

80 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Sun Yat-sen University

OTHER

Sponsor Role lead

Responsible Party

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Yang Hong

Professor

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Hong Yang, M.D.

Role: PRINCIPAL_INVESTIGATOR

Department of Thoracic Surgery, Sun Yat-sen University Cancer Center

Locations

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Department of Thoracic Surgery, Sun Yat-sen University Cancer Center

Guangzhou, Guangdong, China

Site Status

Countries

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China

Other Identifiers

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B2025-825-01

Identifier Type: -

Identifier Source: org_study_id