Abstract
Despite a reduction of mortality after esophagectomy in experienced centers down to 5%, esophageal surgery still carries the risk of substantial morbidity. Meanwhile, surgical complications (e.g. anastomotic insufficiency) are mostly treated conservatively. In contrast, high rates of postoperative pneumonia - especially after neoadjuvant radiation therapy - contribute to almost 50% of overall mortality. Thus, critical patient selection and a meticulous preoperative work-up are of paramount importance. Only interdisciplinary consensus between oncologists, intensive care specialists, surgeons, and anesthesiologists can lead to an individual preoperative treatment concept - based on critical risk evaluation - which allows for a substantial improvement of the patients' performance status before undergoing a thoracoabdominal procedure. To further ameliorate morbidity and mortality in esophageal surgery, appropriate and standardized perioperative management concepts should be implemented by an interdisciplinary team.
Translated title of the contribution | Patient selection and intra- and postoperative management in esophageal surgery |
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Original language | German |
Journal | Viszeralmedizin: Gastrointestinal Medicine and Surgery |
Volume | 27 |
Issue number | 1 |
Pages (from-to) | 12-18 |
Number of pages | 7 |
ISSN | 1662-6664 |
DOIs | |
Publication status | Published - 01.02.2011 |