{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,10,4]],"date-time":"2025-10-04T00:25:42Z","timestamp":1759537542586,"version":"build-2065373602"},"reference-count":34,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2024,2,2]],"date-time":"2024-02-02T00:00:00Z","timestamp":1706832000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["World j. surg."],"published-print":{"date-parts":[[2024,3]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>Chest pain following a thoracotomy for esophageal cancer is frequently reported but poorly understood. This study aimed to (1) determine the prevalence of thoracotomy\u2010related thoracic fractures on postoperative imaging and (2) compare complications, long\u2010term pain, and quality of life in patients with versus without these fractures.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>This retrospective cohort study enrolled patients with esophageal cancer who underwent a thoracotomy between 2010 and 2020 with pre\u2010 and postoperative CTs (&lt;1 and\/or &gt;6\u00a0months). Disease\u2010free patients were invited for questionnaires on pain and quality of life.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Of a total of 366 patients, thoracotomy\u2010related rib fractures were seen in 144 (39%) and thoracic transverse process fractures in 4 (2%) patients. Patients with thoracic fractures more often developed complications (89% vs. 74%, <jats:italic>p<\/jats:italic>\u00a0=\u00a00.002), especially pneumonia (51% vs. 39%, <jats:italic>p<\/jats:italic>\u00a0=\u00a00.032). Questionnaires were completed by 77 after a median of 41 (P<jats:sub>25<\/jats:sub>\u2013P<jats:sub>75<\/jats:sub> 28\u201391) months. Long\u2010term pain was frequently (63%) reported but was not associated with thoracic fractures (<jats:italic>p<\/jats:italic>\u00a0=\u00a00.637), and neither were quality of life scores.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Thoracic fractures are prevalent in patients following a thoracotomy for esophageal cancer. These thoracic fractures were associated with an increased risk of postoperative complications, especially pneumonia, but an association with long\u2010term pain or reduced quality of life was not confirmed.<\/jats:p><\/jats:sec>","DOI":"10.1002\/wjs.12083","type":"journal-article","created":{"date-parts":[[2024,2,2]],"date-time":"2024-02-02T10:49:48Z","timestamp":1706870988000},"page":"662-672","source":"Crossref","is-referenced-by-count":0,"title":["Fractures and other chest wall abnormalities after thoracotomy for esophageal cancer: A retrospective cohort study"],"prefix":"10.1002","volume":"48","author":[{"given":"Suzanne F. M.","family":"Van Wijck","sequence":"first","affiliation":[{"name":"Trauma Research Unit Department of Surgery Erasmus MC University Medical Center Rotterdam  Rotterdam The Netherlands"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Athin\u00e1","family":"Barza","sequence":"additional","affiliation":[{"name":"Trauma Research Unit Department of Surgery Erasmus MC University Medical Center Rotterdam  Rotterdam The Netherlands"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jefrey","family":"Vermeulen","sequence":"additional","affiliation":[{"name":"Department of Surgery Maasstad Ziekenhuis  Rotterdam The Netherlands"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ben M.","family":"Eyck","sequence":"additional","affiliation":[{"name":"Department of Surgery Erasmus MC University Medical Center Rotterdam  Rotterdam The Netherlands"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Berend J.","family":"Van der Wilk","sequence":"additional","affiliation":[{"name":"Department of Surgery Erasmus MC University Medical Center Rotterdam  Rotterdam The Netherlands"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Erwin","family":"Van der Harst","sequence":"additional","affiliation":[{"name":"Department of Surgery Maasstad Ziekenhuis  Rotterdam The Netherlands"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Michael H. 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