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Preoperative risk assessment and prevention of complications in patients with esophageal cancer
Author(s) -
Grotenhuis Brechtje A.,
Wijnhoven Bas P.L.,
Grüne Frank,
van Bommel Jasper,
Tilanus Hugo W.,
van Lanschot J. Jan B.
Publication year - 2010
Publication title -
journal of surgical oncology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.201
H-Index - 111
eISSN - 1096-9098
pISSN - 0022-4790
DOI - 10.1002/jso.21471
Subject(s) - medicine , esophagectomy , esophageal cancer , risk assessment , cancer , neoadjuvant therapy , intensive care medicine , surgery , general surgery , breast cancer , computer security , computer science
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. J. Surg. Oncol. 2010; 101:270–278. © 2010 Wiley‐Liss, Inc.