Bartels H, Stein J J, Siewert J R
Chirurgische Klinik und Poliklinik, TU München.
Langenbecks Arch Chir Suppl Kongressbd. 1996;113:326-7.
The risk involved in esophagectomy in patients with esophageal cancer is related to the general preoperative status of the patient and to the cardiac, pulmonary and hepatic functions. This can be objectively assessed prior to surgery and quantified by a composite risk score. Strict inclusion of the risk score in the preoperative decision-making process resulted in a marked decrease in postoperative mortality at our institution to 1.8%.
食管癌患者进行食管切除术所涉及的风险与患者术前的总体状况以及心脏、肺和肝脏功能有关。这可以在手术前进行客观评估,并通过综合风险评分进行量化。在我们机构,术前决策过程中严格纳入风险评分使得术后死亡率显著降低至1.8%。