Mo1491 Influence of Postoperative Morbidity on Longterm Cancer Survival After Esophagogastric Surgery

Abstract

Introduction Previous studies have shown that postoperative adverse events after colorectal resection predict a poor prognosis with early cancer relapse. The aim of this study was to report the outcome of patients undergoing oesophagogastric resection to assess the influence of in-hospital factors on longterm cancer survival. Methods Retrospective review of patients undergoing oesophagogastric resection for carcinoma during the years 2006–2010 at our institution. Minimum follow-up of 12 months was required. Results The study population was 164 patients (110 male) of median age 64 years (range 32–84). 84 underwent oesophagectomy, 80 gastrectomy. 99 received neoadjuvant chemotherapy. The 90-day, 1-year and 3-year survivals were 92%, 84% and 49% respectively. 69 patients (42%) developed postoperative complications (commonest: pneumonia 19%, anastomotic leak 7%, wound infection 6%). None of tumour site (oesophagus vs stomach, p=0.73), length of ITU stay ( 3 days, p=0.50) or development of postoperative complications (p=0.70) influenced longterm prognosis. The only two factors that influenced longterm outcome were UICC stage (p Conclusion Patients experiencing postoperative morbidity can expect the same longterm oncologic outcome as those not suffering these early setbacks. Competing interests None declared.