| アブストラクト | Esophagectomy for esophageal cancer is a highly invasive gastrointestinal surgical procedure. The National Clinical Database (NCD) of Japan, initiated in 2011, has compiled real-world data on esophagectomy, one of nine major gastroenterological surgeries. This review examines outcomes after esophagectomy analyzed using the Japanese big databases. Certification systems by the Japanese Society of Gastroenterological Surgery (JSGS) and the Japan Esophageal Society (JES) have shown that institutional certification has a greater impact on short-term surgical outcomes than surgeon certification. Minimally invasive esophagectomy has emerged as a viable alternative to open esophagectomy, although careful patient selection is crucial, especially for elderly patients with advanced tumors. The NCD has significantly contributed to the assessment and enhancement of surgical quality and short-term outcomes, while studies based on Comprehensive Registry of Esophageal Cancer in Japan (CRECJ) have provided data on patient characteristics, treatments, and long-term outcomes. The JES has conducted various questionnaire-based retrospective clinical reviews in collaboration with authorized institutions certified by JES. The Diagnosis Procedure Combination (DPC) database provides administrative claims data including itemized prices for surgical, pharmaceutical, laboratory, and other inpatient services. Analyzing these nationwide databases can offer precise insights into surgical quality for esophageal cancer, potentially leading to improved treatment outcomes. |
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| 投稿者 | Kakeji, Yoshihiro; Yamamoto, Hiroyuki; Watanabe, Masayuki; Kono, Koji; Ueno, Hideki; Doki, Yuichiro; Kitagawa, Yuko; Takeuchi, Hiroya; Shirabe, Ken; Seto, Yasuyuki |
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| 組織名 | Division of Gastrointestinal Surgery, Department of Surgery, Kobe University;Graduate School of Medicine, 7-5-2 Kusunoki-cho, Chuo-ku,Kobe, 650-0017, Japan.;kakeji@med.kobe-u.ac.jp.;Department of Healthcare Quality Assessment Graduate School of Medicine, The;University of Tokyo, Tokyo, Japan.;Department of Gastroenterological Surgery, Cancer Institute Hospital of Japanese;Foundation for Cancer Research, Tokyo, Japan.;Department of Gastrointestinal Tract Surgery, Fukushima Medical University,;Fukushima, Japan.;Department of Surgery, National Defense Medical College, Saitama, Japan.;Department of Gastroenterological Surgery, Osaka University Graduate School of;Medicine, Osaka, Japan.;Department of Surgery, School of Medicine, Keio University, Tokyo, Japan.;Department of Surgery, Hamamatsu University School of Medicine, Shizuoka, Japan.;Department of General Surgical Science, Gunma University Graduate School of;Medicine, Maebashi, Gunma, Japan.;Department of Gastrointestinal Surgery, The University of Tokyo Graduate School;of Medicine, Tokyo, Japan. |
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