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Long-term survival outcomes of esophageal squamous cell carcinoma with intraoperative thoracic duct ligation: a large-scale propensity score matching analysis

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机构: [1]Univ Elect Sci & Technol China, Sichuan Canc Hosp & Inst, Sichuan Canc Hosp, Sichuan Clin Res Ctr Canc,Affiliated Canc Hosp,Dep, Chengdu, Sichuan, Peoples R China [2]Kunming Med Univ, Yunnan Tumor Hosp, Dept Thorac & Cardiovasc Surg, Affiliated Hosp 3, Kunming, Peoples R China [3]Chongqing Med Univ, Sch Publ Hlth, Chongqing, Peoples R China [4]Zigong First peoples Hosp, Dept Thorac Surg, Zigong, Sichuan, Peoples R China [5]Univ Elect Sci & Technol China UESTC, Sichuan Canc Hosp & Inst, Dept Radiat Oncol, Chengdu, Peoples R China [6]Radiat Oncol Key Lab Sichuan Prov, Chengdu, Peoples R China
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关键词: esophageal squamous cell carcinoma intraoperative thoracic duct ligation esophagectomy overall survival propensity score matching

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Background Esophagectomy is the primary treatment for localized esophageal squamous cell carcinoma (ESCC). Intraoperative thoracic duct ligation (TDL) has been suggested as an adjunct to reduce the risk of postoperative chylothorax in patients with ESCC, but its effect on long-term oncologic outcomes remains uncertain.Methods Data from the Sichuan Cancer Hospital and Institute Esophageal Cancer Case Management Database were analyzed for patients treated between 2010 and 2017. Participants were classified into TDL and non-TDL groups. Univariate Cox regression analyses and propensity score matching (PSM) were used to identify independent risk factors for overall survival (OS).Results A total of 2,510 patients were included, with 2,095 in the TDL group and 415 in the non-TDL group. The median follow-up was 63.97 months. No significant differences in OS were observed between the TDL and non-TDL groups (HR: 1.13; 95% CI: 0.96-1.31; P = 0.13). After PSM, the analysis continued to show no significant differences between the groups (P = 0.72).Conclusion Intraoperative TDL during esophagectomy did not significantly impact long-term OS in patients with ESCC.

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大类 | 3 区 医学
小类 | 4 区 肿瘤学
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Q2 ONCOLOGY

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第一作者机构: [1]Univ Elect Sci & Technol China, Sichuan Canc Hosp & Inst, Sichuan Canc Hosp, Sichuan Clin Res Ctr Canc,Affiliated Canc Hosp,Dep, Chengdu, Sichuan, Peoples R China [2]Kunming Med Univ, Yunnan Tumor Hosp, Dept Thorac & Cardiovasc Surg, Affiliated Hosp 3, Kunming, Peoples R China
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