Schizas D, Giannopoulos S, Vailas M, et al. - According to the PRISMA guidelines, researchers conducted this investigation to analyze the impact of cirrhosis on postoperative outcomes following esophagectomy for esophageal cancer. Through the search of PubMed, Scopus, and Cochrane (end-of-search date: March 8th, 2019), eligible studies were identified. They involved 12 observational studies reporting on a total of 1,938 individuals who had surgery for esophageal cancer. Cirrhotic patients have increased chances of developing pulmonary complications, ascites, and anastomotic leak during the first postoperative month. Although the following esophagectomy, 30-day mortality was higher among cirrhotic patients, the liver disease does not appear to influence long-term prognosis.