Esophageal resection in Austria—preparing a national registry

Summary Background Esophageal resection is a technically challenging procedure. Despite improvements in perioperative management and outcome, it still associated with considerably high morbidity mortality rates even if performed high-volume centers. This study aimed to shed light on the results of routine patient care three representative referral centers concerning caseload surgical oncological outcomes. Methods retrospective, multicenter, national-wide analysis newly established database including long-term outcome data from Austria. Results In 6-year period (2013–2018), 411 patients were eligible for analysis. The indication esophageal was adenocarcinoma 299 (72.7%) squamous cell carcinoma 90 (21.9%) patients. abdominothoracic approach (70.1%) most common operation, followed by transhiatal extended gastrectomy (14.8%) thoracic-abdominal-cervical (8.5%). Most (77.9%) underwent neoadjuvant therapy (chemotherapy 45.3%, radiochemotherapy 32.6%). A minimally invasive chosen 25.3%. Major complications seen 21.7% 2.9%, respectively. 1‑year survival rate 84%, 3‑year 60%, 5‑year 52%. pooled overall median 110 months (95% CI 33.97–186.03). Conclusion first publication Austrian Society Surgery shows that surgery cancer Austria compares well renowned international However, more comprehensive as many national possible will improve research, offer quality management, safety. group invites all institutions performing esophagectomy participate initiative.