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

被引:2
作者
Elliott, Jessie A. [1 ,2 ]
Guinan, Emer [1 ,2 ]
Reynolds, John, V [1 ,2 ]
机构
[1] Trinity Coll Dublin, Trinity St Jamess Canc Inst, Dublin, Ireland
[2] St James Hosp, Dublin, Ireland
关键词
anesthesia; cardiopulmonary exercise testing; esophageal cancer; esophagectomy; nutrition; prehabilitation; surgery; BRAIN NATRIURETIC PEPTIDE; RANDOMIZED CLINICAL-TRIAL; VITAMIN-D SUPPLEMENTATION; X-RAY ABSORPTIOMETRY; LUNG-FUNCTION; POSTOPERATIVE COMPLICATIONS; ATRIAL-FIBRILLATION; ENTERAL NUTRITION; BODY-COMPOSITION; REFERENCE VALUES;
D O I
10.1093/dote/doad062
中图分类号
R57 [消化系及腹部疾病];
学科分类号
摘要
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.
引用
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页数:17
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