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Thorac Cardiovasc Surg 2016; 64(07): 596-605
DOI: 10.1055/s-0034-1399763
Review Article
Georg Thieme Verlag KG Stuttgart · New York

Risk and Complication Management in Esophageal Cancer Surgery: A Review of the Literature

Ines Gockel
1   Department of General, Visceral, and Transplant Surgery, University Medical Center of Mainz, Germany
,
Stefan Niebisch
1   Department of General, Visceral, and Transplant Surgery, University Medical Center of Mainz, Germany
,
Constantin Johannes Ahlbrand
1   Department of General, Visceral, and Transplant Surgery, University Medical Center of Mainz, Germany
,
Christian Hoffmann
2   Department of Diagnostic and Interventional Radiology, University Medical Center of Mainz, Germany
,
Markus Möhler
3   First Medical Clinic and Policlinic, University Medical Center of Mainz, Germany
,
Christoph Düber
2   Department of Diagnostic and Interventional Radiology, University Medical Center of Mainz, Germany
,
Hauke Lang
1   Department of General, Visceral, and Transplant Surgery, University Medical Center of Mainz, Germany
,
Florian Heid
4   Department of Anesthesiology, University Medical Center of Mainz, Germany
› Author Affiliations
Further Information

Publication History

27 January 2014

10 November 2014

Publication Date:
28 January 2015 (online)

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Abstract

Esophagectomy for cancer is a highly complex and demanding two-cavity procedure associated with a considerable morbidity and mortality. There are several controversies with regard to the optimal risk and complication management. Strategies include patient selection, optimization of malnutrition, hospital and surgeon volume, intraoperative anesthesiological and surgical measures, and postoperative management of complications. In this article, we review the literature on these aspects that have an impact on outcomes after esophagectomy.

Keywords

esophageal surgery - esophageal cancer - risk - complication management
 

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