Reducing Pulmonary Complications After Esophagectomy for Cancer

Overview

Journal J Thorac Dis

Publisher AME Publishing Company

Specialty Pulmonary Medicine

Date 2019 May 14

PMID 31080660

Citations 10

Authors

Maarten F J Seesing

B Feike Kingma

Teus J Weijs

Jelle P Ruurda

Richard van Hillegersberg

Affiliations

Soon will be listed here.

Abstract

The cornerstone of curative care for esophageal cancer is neoadjuvant chemoradiotherapy followed by esophagectomy with a radical lymphadenectomy. An esophagectomy is a major and complex surgical procedure and is often followed by postoperative morbidity, especially pulmonary complications. These complications may lead to an increase in hospital stay, intensive care unit admission rate and mortality. Therefore, perioperative strategies to reduce these complications have been investigated and implemented in clinical practice. In this review we highlight the influence of minimally invasive surgery, postoperative pain management, early identification of complications and the usage of uniform definitions on (pulmonary) complications after esophagectomy. Finally, we will discuss some future perspectives.

Citing Articles

Effect on post-operative pulmonary complications frequency of high flow nasal oxygen versus standard oxygen therapy in patients undergoing esophagectomy for cancer: study protocol for a randomized controlled trial-OSSIGENA study.

Deana C, Vecchiato M, Azzolina D, Turi S, Boscolo A, Pistollato E J Thorac Dis. 2024; 16(8):5388-5398.

PMID: 39268119 PMC: 11388233. DOI: 10.21037/jtd-24-575.

Intra-operative pyloric BOTOX injection versus pyloric surgery for prevention of delayed gastric emptying after esophagectomy.

Saeed S, Sinnamon A, Fontaine J, Mehta R, Pena L, Mok S Surg Endosc. 2024; 38(10):6046-6052.

PMID: 39134721 DOI: 10.1007/s00464-024-11151-9.

Electrical vagus nerve stimulation is a promising approach to reducing pulmonary complications after an esophagectomy: an experimental rodent model.

Janssen H, Geraedts T, Fransen L, Van Ark I, Leusink-Muis T, Folkerts G Immunol Res. 2024; 72(6):1247-1258.

PMID: 39083131 PMC: 11618150. DOI: 10.1007/s12026-024-09523-3.

Comment on The Association Between Preoperative Inspiratory Muscle Training Variables and Postoperative Pulmonary Complications in Subjects With Esophageal Cancer.

Deana C, Vecchiato M, Vetrugno L, Petri R, Overbeek M, Reijneveld E Respir Care. 2024; 69(3):376-378.

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Outcomes of early fiberoptic bronchoscopic sputum aspiration and lavage after thoracoscopic and laparoscopic esophageal cancer surgery: a randomized clinical trial.

Wang W, Xie J, Yang T, Huang S, Chen B J Cardiothorac Surg. 2023; 18(1):268.

PMID: 37794501 PMC: 10552382. DOI: 10.1186/s13019-023-02370-7.

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