Key result
Preoperative risk assessment factors such as age, cardiopulmonary condition, and nutritional status aid in patient selection for esophagectomy but are not valid exclusion criteria.
Careful patient selection and intraoperative risk reduction through fluid management and surgical techniques are important for preventing complications in esophagectomy.
Supports nuanced esophagectomy selection without absolute exclusions; leaves open prospective validation of risk thresholds.
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.
No takes yet. Share an insight, caveat, or question.
Grotenhuis et al. (2010) conducted a review in Esophageal cancer undergoing esophagectomy. Preoperative risk assessment and prevention of complications was evaluated. Preoperative risk assessment factors such as age, cardiopulmonary condition, and nutritional status aid in patient selection for esophagectomy but are not valid exclusion criteria.
Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context: