The Comprehensive Complication Index in Postoperative Assessment After Head and Neck Reconstruction.

IF 1.9 3区医学 Q3 ONCOLOGY

Journal of Surgical Oncology Pub Date : 2025-09-08 DOI:10.1002/jso.70077

Takeaki Hidaka, Shimpei Miyamoto, Yutaka Fukunaga, Azusa Oshima, Takeshi Shinozaki, Kazuto Matsuura, Takuya Higashino

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引用次数: 0

Abstract

Background: Postoperative complications significantly impact outcomes in head and neck free-flap reconstruction. The comprehensive complication index (CCI) offers a continuous measure of complication burden but is rarely applied in head and neck surgery compared to the Clavien-Dindo Classification (CDC).

Methods: This retrospective study analyzed 354 patients who underwent head and neck free-flap reconstruction. Complications were graded using the CDC, and the CCI was calculated. Multivariable linear regression was used to identify risk factors for increased CCI values.

Results: A total of 413 complications were observed in 252 patients. Analysis using the CCI identified mandibular reconstruction, diabetes mellitus, and prolonged operative time as significant risk factors for increased complication burden, while analysis using the CDC identified only prolonged operative time.

Conclusions: The CCI provides a comprehensive assessment of postoperative morbidity and demonstrates potential for improved evaluation of complication burden in head and neck free-flap reconstruction.

Level of evidence: Level IV.

Clinical trial registration: This study was registered in the UMIN Clinical Trials Registry as UMIN000055625 (http://www.umin.ac.jp/ctr).

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头颈部重建术后并发症综合指数评价。

背景：术后并发症对头颈部自由皮瓣重建的预后有显著影响。综合并发症指数（CCI）提供了并发症负担的连续测量，但与Clavien-Dindo分类（CDC）相比，很少用于头颈部手术。方法：对354例接受头颈部游离皮瓣重建的患者进行回顾性分析。采用CDC对并发症进行分级，计算CCI。多变量线性回归用于确定CCI值升高的危险因素。结果：252例患者共发生并发症413例。CCI分析发现下颌骨重建、糖尿病和手术时间延长是增加并发症负担的重要危险因素，而CDC分析仅发现手术时间延长。结论：CCI提供了全面的术后发病率评估，并显示了头颈部自由皮瓣重建并发症负担评估的潜力。临床试验注册：本研究已在UMIN临床试验注册中心注册为UMIN000055625 （http://www.umin.ac.jp/ctr）。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Journal of Surgical Oncology 医学-外科

CiteScore

4.70

自引率

4.00%

发文量

367

审稿时长

2 months

期刊介绍： The Journal of Surgical Oncology offers peer-reviewed, original papers in the field of surgical oncology and broadly related surgical sciences, including reports on experimental and laboratory studies. As an international journal, the editors encourage participation from leading surgeons around the world. The JSO is the representative journal for the World Federation of Surgical Oncology Societies. Publishing 16 issues in 2 volumes each year, the journal accepts Research Articles, in-depth Reviews of timely interest, Letters to the Editor, and invited Editorials. Guest Editors from the JSO Editorial Board oversee multiple special Seminars issues each year. These Seminars include multifaceted Reviews on a particular topic or current issue in surgical oncology, which are invited from experts in the field.