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25.04.2018 | Review Article

Recent progress in perioperative management of patients undergoing esophagectomy for esophageal cancer

verfasst von: Masayuki Watanabe, Akihiko Okamura, Tasuku Toihata, Kotaro Yamashita, Masami Yuda, Masaru Hayami, Ian Fukudome, Yu Imamura, Shinji Mine

Erschienen in: Esophagus | Ausgabe 3/2018

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Abstract

Esophagectomy remains the mainstay of curative intent treatment for esophageal cancer. Oncologic esophagectomy is a highly invasive surgery and both morbidity and mortality rates still remain high. Recently, it has been revealed that multidisciplinary perioperative management can decrease the postoperative complications after esophagectomy. In this review, we summarized the recent progress in each component of multidisciplinary perioperative care bundle, including oral hygiene, cessation of smoking and alcohol, respiratory training, measurement of physical fitness, swallowing evaluation and rehabilitation, nutritional support, pain control and management of delirium. The accumulation of evidence and the popularization of knowledge will increase safety of esophagectomy and thus improve the outcome of patients with esophageal cancer.

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Titel: Recent progress in perioperative management of patients undergoing esophagectomy for esophageal cancer
verfasst von: Masayuki Watanabe
Akihiko Okamura
Tasuku Toihata
Kotaro Yamashita
Masami Yuda
Masaru Hayami
Ian Fukudome
Yu Imamura
Shinji Mine
Publikationsdatum: 25.04.2018
Verlag: Springer Japan
Erschienen in: Esophagus / Ausgabe 3/2018
Print ISSN: 1612-9059
Elektronische ISSN: 1612-9067
DOI: https://doi.org/10.1007/s10388-018-0617-9

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