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e-Article

Esophageal cancer surgery: review of complications and their management.
Document Type
Article
Source
Annals of the New York Academy of Sciences. Dec2020, Vol. 1482 Issue 1, p146-162. 17p. 2 Color Photographs, 1 Black and White Photograph, 1 Diagram, 7 Charts.
Subject
*SURGICAL complications
*ONCOLOGIC surgery
*ESOPHAGEAL cancer
*LARYNGEAL nerve palsy
*SYMPTOMS
*STAPLERS (Surgery)
*LARYNGEAL nerves
*PERONEAL nerve
Language
ISSN
0077-8923
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 FROM AUTHOR]