Esophageal cancer surgery: review of complications and their management. Issue 1 (15th September 2020)

• Record Type: Journal Article
• Authors: Chevallay, Mickael; Jung, Minoa; Chon, Seung‐Hun; Takeda, Flavio Roberto; Akiyama, Junichi; Mönig, Stefan
• Other Names: Giuli Robert guestEditor.
• Is Part Of: Annals of the New York Academy of Sciences. Volume 1482:Issue 1(2020)
• Page Start: 146
• Page End: 162
• Publication Date: 2020-09-15
• Subjects: complications -- esophagectomy -- anastomotic leakage -- chylothorax -- nerve palsy; Medical sciences -- Periodicals; Medicine -- Periodicals; Science -- Periodicals; 610
• DOI: 10.1111/nyas.14492
• Languages: English
• ISSNs: 0077-8923

Abstract

Abstract: 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. Abstract : 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. We have summarized the clinical signs, diagnostic process, and management of these frequent complications after esophagectomy for esophageal cancer.