Mortensen M Bau
Upper GI and HPB Section, Department of Surgery, Odense University Hospital, Odense, Denmark -
Minerva Chir. 2013 Aug;68(4):341-52.
Modern handling of esophageal cancer patients is based on a multidisciplinary concept, but surgery remains the primary curative treatment modality. Improvements in the perioperative care have reduced the overall morbidity and mortality, but 2-7% of the patients may still die within 30 days as a direct consequence of complications related to the esophagectomy procedure. Primarily based on results from randomized studies published after 2000 this review describes some of the factors that may contribute to the development of postoperative complications following esophageal cancer surgery as well as studies intended to finding ways of reducing the complication rate.
现代食管癌患者的治疗基于多学科理念，但手术仍是主要的根治性治疗方式。围手术期护理的改善降低了总体发病率和死亡率，但仍有2% - 7%的患者可能在30天内直接死于与食管切除术相关的并发症。本综述主要基于2000年后发表的随机研究结果，描述了一些可能导致食管癌手术后发生并发症的因素，以及旨在寻找降低并发症发生率方法的研究。
