Preoperative risk assessment and prevention of complications in patients with esophageal cancer |
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| Authors: | Brechtje A. Grotenhuis MD Bas P.L. Wijnhoven MD PhD Frank Grüne MD PhD Jasper van Bommel MD PhD Hugo W. Tilanus MD PhD J. Jan B. van Lanschot MD PhD |
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| Affiliation: | 1. Department of Surgery, Erasmus Medical Center, Rotterdam, The Netherlands;2. Department of Anesthesiology, Erasmus Medical Center, Rotterdam, The Netherlands;3. Department of Intensive Care, Erasmus Medical Center, Rotterdam, The Netherlands |
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| Abstract: | In this review the preoperative risk assessment and prevention of complications in patients undergoing esophagectomy for cancer is discussed. Age, pulmonary and cardiovascular condition, nutritional status, and neoadjuvant chemo(radio)therapy are known predictive factors. None of these factors is a valid exclusion criterion for esophagectomy, but may help in careful patient selection. Both anesthetists and surgeons play an important role in intraoperative risk reduction by means of appropriate fluid management and application of optimal surgical techniques. J. Surg. Oncol. 2010; 101:270–278. © 2010 Wiley‐Liss, Inc. |
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| Keywords: | risk factors esophagectomy perioperative risk analysis complication prevention |
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