Complications following oesophagectomy, a review with future perspectives

作者: Jasper van Bommel , B. Kantering , Marc Buise

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摘要: Oesophagectomy with gastric tube reconstruction is a complex, high-risk surgical procedure. Despite improvements in techniques and perioperative care, the postoperative course often complicated. The two most frequent important complications following oesophagectomy are anastomotic failure pulmonary morbidity. Along methods, microvascular blood flow an factor development of failure. Location anastomosis, tissue supportive early detection leakage may contribute to decrease pathogenesis multifactorial. Prolonged systemic inflammatory response syndrome responses associated complications. cholinergic anti-inflammatory pathway play role this future research direction necessary search for better care. In our opinion, only clinical pathways that include extubation, fluid management, pain management mobilization nutrition, providing opportunities fewer However, succeed if surgeons, anaesthetists intensivists feel they part treatment process take responsibility as team all

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