Gockel Ines, Niebisch Stefan, Ahlbrand Constantin Johannes, Hoffmann Christian, Möhler Markus, Düber Christoph, Lang Hauke, Heid Florian
Department of General, Visceral, and Transplant Surgery, University Medical Center of Mainz, Germany.
Department of Diagnostic and Interventional Radiology, University Medical Center of Mainz, Germany.
Thorac Cardiovasc Surg. 2016 Oct;64(7):596-605. doi: 10.1055/s-0034-1399763. Epub 2015 Jan 28.
Esophagectomy for cancer is a highly complex and demanding two-cavity procedure associated with a considerable morbidity and mortality. There are several controversies with regard to the optimal risk and complication management. Strategies include patient selection, optimization of malnutrition, hospital and surgeon volume, intraoperative anesthesiological and surgical measures, and postoperative management of complications. In this article, we review the literature on these aspects that have an impact on outcomes after esophagectomy.
食管癌切除术是一种高度复杂且要求极高的双腔手术，会带来相当高的发病率和死亡率。在最佳风险和并发症管理方面存在诸多争议。策略包括患者选择、营养不良的优化、医院和外科医生的手术量、术中麻醉和手术措施以及术后并发症管理。在本文中，我们回顾了有关这些对食管癌切除术后结果有影响的方面的文献。
