Weledji Elroy P, Verla Vincent
Department of Surgery, Faculty of Health Sciences, University of Buea, Buea, Cameroon.
Department of Anaesthesia, Faculty of Health Sciences, University of Buea, Cameroon.
Ann Med Surg (Lond). 2016 Mar 2;7:34-41. doi: 10.1016/j.amsu.2016.02.027. eCollection 2016 May.
'Failure to rescue' is a significant cause of mortality in gastrointestinal surgery. Differences in mortality between high and low-volume hospitals are not associated with large difference in complication rates but to the ability of the hospital to effectively rescue patients from the complications. We reviewed the critical complications following surgery for oesophageal and gastric cancer, their prevention and reasons for failure to rescue. Strategies focussing on perioperative optimization, the timely recognition and management of complications may be essential to improving outcome in low-volume hospitals.
“未能成功救治”是胃肠外科手术中导致死亡的一个重要原因。高手术量医院和低手术量医院之间的死亡率差异与并发症发生率的巨大差异并无关联，而是与医院有效救治并发症患者的能力有关。我们回顾了食管癌和胃癌手术后的严重并发症、其预防措施以及未能成功救治的原因。关注围手术期优化、及时识别和处理并发症的策略对于改善低手术量医院的治疗效果可能至关重要。
