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测量和优化食管癌手术患者的围手术期风险。

Measurement and optimization of perioperative risk among patients undergoing surgery for esophageal cancer.

机构信息

Trinity St. James's Cancer Institute, Trinity College Dublin and St. James's Hospital, Dublin, Ireland.

出版信息

Dis Esophagus. 2024 Feb 29;37(3). doi: 10.1093/dote/doad062.

DOI:10.1093/dote/doad062
PMID:37899136
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10906714/
Abstract

Esophagectomy is an exemplar of complex oncological surgery and is associated with a relatively high risk of major morbidity and mortality. In the modern era, where specific complications are targeted in prevention and treatment pathways, and where the principles of enhanced recovery after surgery are espoused, optimum outcomes are targeted via a number of approaches. These include comprehensive clinical and physiological risk assessment, specialist perioperative care by a high-volume team, and multimodal inputs throughout the patient journey that aim to preserve or restore nutritional deficits, muscle mass and function.

摘要

食管癌切除术是一种典型的复杂肿瘤外科手术,具有相对较高的主要发病率和死亡率风险。在现代,针对特定并发症的预防和治疗途径,以及主张手术后恢复增强的原则下,通过多种方法来实现最佳结果。这些方法包括全面的临床和生理风险评估、由高容量团队提供的专业围手术期护理,以及在整个患者治疗过程中的多模式治疗,旨在预防或恢复营养不足、肌肉质量和功能。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4586/10906714/ea7197bf7bd3/doad062f2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4586/10906714/70da54c040f4/doad062f1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4586/10906714/ea7197bf7bd3/doad062f2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4586/10906714/70da54c040f4/doad062f1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4586/10906714/ea7197bf7bd3/doad062f2.jpg

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Comparison of different reference values for lung function: implications of inconsistent use among centers.
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