Patientenvorbereitung sowie intra- und postoperatives Managementkonzept für die Ösophagusresektion

Translated title of the contribution: Patient selection and intra- and postoperative management in esophageal surgery

Franz G. Bader, Armin Frank, Uwe J. Roblick, Thomas Jungbluth, Markus Kleemann, Philipp Hildebrand, Frank Hackmann, Stefan Limmer, Hamed Esnaashari, Tilman Laubert, Hermann Heinzeb, Elke Muhl, Hans Peter Bruch


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 contributionPatient selection and intra- and postoperative management in esophageal surgery
Original languageGerman
JournalViszeralmedizin: Gastrointestinal Medicine and Surgery
Issue number1
Pages (from-to)12-18
Number of pages7
Publication statusPublished - 01.02.2011


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