Department of Surgery, Erasmus Medical Center, Rotterdam, The Netherlands.
J Surg Oncol. 2010 Mar 1;101(3):270-8. doi: 10.1002/jso.21471.
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.
本文讨论了为癌症患者施行食管癌切除术的术前风险评估和并发症预防。年龄、肺部和心血管状况、营养状况以及新辅助化疗（放疗）是已知的预测因素。这些因素都不是食管癌切除术的有效排除标准，但有助于仔细选择患者。麻醉师和外科医生都可以通过适当的液体管理和应用最佳手术技术在术中降低风险方面发挥重要作用。
