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Esophageal cancer surgery: review of complications and their management
Annals of the New York Academy of Sciences ( IF 5.2 ) Pub Date : 2020-09-15 , DOI: 10.1111/nyas.14492
Mickael Chevallay 1 , Minoa Jung 1 , Seung-Hun Chon 2 , Flavio Roberto Takeda 3 , Junichi Akiyama 4 , Stefan Mönig 1
Affiliation  

Esophagectomy, even with the progress in surgical technique and perioperative management, is a highly specialized surgery, associated with a high rate of complications. Early recognition and adequate treatment should be a standard of care for the most common postoperative complications: anastomotic leakage, pneumonia, atrial fibrillation, chylothorax, and recurrent laryngeal nerve palsy. Recent progress in endoscopy with vacuum and stent placement, or in radiology with embolization, has changed the management of these complications. The success of nonoperative treatments should be frequently reassessed and reoperation must be proposed in case of failure. We have summarized the clinical signs, diagnostic process, and management of the frequent complications after esophagectomy for esophageal cancer.

中文翻译:

食管癌手术:并发症及其管理回顾

即使随着手术技术和围手术期管理的进步,食管切除术也是一种高度专业化的手术,并发症发生率高。早期识别和充分治疗应成为最常见术后并发症的护理标准:吻合口瘘、肺炎、心房颤动、乳糜胸和喉返神经麻痹。内窥镜真空和支架置入术或放射学栓塞术的最新进展改变了对这些并发症的管理。应经常重新评估非手术治疗的成功与否,如果失败则必须建议再次手术。我们总结了食管癌食管癌切除术后常见并发症的临床体征、诊断过程和处理。
更新日期:2020-09-15
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