Preoperative risk assessment and prevention of complications in patients with esophageal cancer.
In this review the preoperative risk assessment and prevention of complications in patients undergoing esophagectomy for cancer is discussed. Age, pulmonary and cardiovascular condition, nutritional status, and neoadjuvant chemo(radio)therapy are known predictive factors. None of these factors is a valid exclusion criterion for esophagectomy, but may help in careful patient selection. Both anesthetists and surgeons play an important role in intraoperative risk reduction by means of appropriate fluid management and application of optimal surgical techniques.
Grotenhuis
Brechtje A
BA
Department of Surgery, Erasmus Medical Center, Rotterdam, The Netherlands. b.grotenhuis@erasmusmc.nl
Wijnhoven
Bas P L
BP
Grüne
Frank
F
van Bommel
Jasper
J
Tilanus
Hugo W
HW
van Lanschot
J Jan B
JJ
D000328:Adult; D000368:Aged; D004938:Esophageal Neoplasms / Q000601:surgery*; D016629:Esophagectomy / Q000009:adverse effects*; D006801:Humans; D044342:Malnutrition / Q000150:complications; D008875:Middle Aged; D020360:Neoadjuvant Therapy; D009752:Nutritional Status; D009765:Obesity / Q000150:complications; D011183:Postoperative Complications / Q000517:prevention & control*; D018570:Risk Assessment; D012307:Risk Factors