Complications of esophageal cancer surgery and treatment Özofagus kanseri cerrahisinde komplikasyonlar ve tedavisi

ÖZKAN M., Ökten I.

Ondokuz Mayis Universitesi Tip Dergisi, cilt.29, 2012 (Scopus) identifier

  • Yayın Türü: Makale / Derleme
  • Cilt numarası: 29
  • Basım Tarihi: 2012
  • Dergi Adı: Ondokuz Mayis Universitesi Tip Dergisi
  • Derginin Tarandığı İndeksler: Scopus
  • Anahtar Kelimeler: Anastomosis, Complication, Esophageal cancer, Esophagectomy, Morbidity, Resection
  • Ankara Üniversitesi Adresli: Evet

Özet

© 2012 OMU.Morbidity rate associated with surgical treatment of esophageal cancer is still high, although it is significantly decreased in recent years according to improvements and developments in patient selection, surgical technique and perioperative approach. Respiratory failure, sepsis, anastomotic leakage, esophageal stricture, fistula, reflux, obstruction, bleeding, chylothorax, pneumothorax, pancreatitis and splenic injuries are major complications of esophageal cancer surgery. Respiratory physiotherapy and pain control are two key approaches in prevention of pulmonary complications. Anastomotic leakage is a significant complication with high morbidity and mortality rate. Esophageal stricture occurs in 30-50% of cases in the first three months, postoperatively. It is often treated with repeated dilatations. Mortality is inevitable for the development of fistula between airways and the trachea, if it is left untreated. Despite its high morbidity and mortality rates, surgical treatment is the main treatment modality of esophageal cancer.