A Study on the Impact of Surgical Duration on Esophageal Cancer

Purpose: Faster surgery has been associated with better outcomes. In the present aimed to determine whether surgical duration affected overall survival (OS) undergoing esophagectomy. Additionally, we assessed factors that influence duration. Patients and Methods: This single-center retrospective cohort study included who underwent Ivor-Lewis esophagectomy by a single surgeon between 2005 and Cox proportional hazard model was used to evaluate the association of OS with the variables: surgical duration, neo-adjuvant chemotherapy, pathological grade tumor invasion, lymph node (LN) metastasis, body mass index (BMI), and dissection. Additionally, factors associated with prolonged surgical duration were by logistic regression analysis. Results: Based on the multivariate analysis, surgical duration was not associated [hazard ratio (HR), 1.065; 95% confidence interval (CI), 0.586-1.937; P = 0.837]. hand, tumor invasion (HR, 2.901; 95% CI, 1.483-5.674; P = 0.002) and LN metastasis 2.338 2.403; 95% CI, 1.237-4.420 1.257-4.593; P = 0.009 0.008) significantly influenced The assessment of variables affecting surgical duration showed that BMI had a significant on surgical duration (odds ratio, 2.790; 95% CI, 1.254-6.204, P = 0.012). Conclusion: According to the analysis of patients who underwent the same approach by a single surgeon, surgical duration of esophagectomy for esophageal was significantly influenced by BMI; however, surgical duration had no impact survival.