Essential updates 2022/2023: Recent advances in perioperative management of esophagectomy to improve operative outcomes.

Autor: Kikuchi H; Department of Surgery Hamamatsu University School of Medicine Hamamatsu Japan., Booka E; Department of Surgery Hamamatsu University School of Medicine Hamamatsu Japan., Hiramatsu Y; Department of Surgery Hamamatsu University School of Medicine Hamamatsu Japan.; Department of Perioperative Functioning Care and Support Hamamatsu University School of Medicine Hamamatsu Japan., Takeuchi H; Department of Surgery Hamamatsu University School of Medicine Hamamatsu Japan.
Jazyk: angličtina
Zdroj: Annals of gastroenterological surgery [Ann Gastroenterol Surg] 2024 Jul 29; Vol. 8 (6), pp. 966-976. Date of Electronic Publication: 2024 Jul 29 (Print Publication: 2024).
DOI: 10.1002/ags3.12847
Abstrakt: In the era of minimally invasive surgery, esophagectomy remains a highly invasive procedure with a high rate of postoperative complications. Preoperative risk assessment is essential for planning esophagectomy in patients with esophageal cancer, and it is crucial to implement evidence-based perioperative management to mitigate these risks. Perioperative support from multidisciplinary teams has recently been reported to improve the perioperative nutritional status and long-term survival of patients undergoing esophagectomy. Intraoperative management of anesthesia and fluid therapy also significantly affects short-term outcomes after esophagectomy. In this narrative review, we outline the recent updates in the perioperative management of esophagectomy, focusing on preoperative risk assessment, intraoperative management, and perioperative support by multidisciplinary teams to improve operative outcomes.
Competing Interests: The authors declare no conflicts of interest for this article. Hiroya Takeuchi is an editorial board member of Annals of Gastroenterological Surgery.
(© 2024 The Author(s). Annals of Gastroenterological Surgery published by John Wiley & Sons Australia, Ltd on behalf of The Japanese Society of Gastroenterological Surgery.)
Databáze: MEDLINE
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