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Perioperative Management for Early Recovery after Esophageal Cancer Surgery

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Enhanced Recovery after Surgery

Abstract

The morbidity and mortality after esophagectomy remains high despite significant improvements in the surgical procedures and perioperative care over the last several decades. In the field of esophageal cancer surgery, enhanced recovery programs based on the enhanced recovery after surgery (ERAS®) or Japanese ES sential S trategy for E arly N ormalization after S urgery with patient’s E xcellent satisfaction (ESSENSE) programs have recently been introduced and appear promising for achieving better outcomes. However, to date, such programs for early recovery after esophagectomy have lacked large-scale, prospective, multicenter evidence. At present, integrated perioperative care aiming at the prophylaxis and control of postoperative infectious complications (represented by anastomotic leakage as a surgical site infection and pneumonia as a remote infection) may be a top-priority component for not only early recovery from esophagectomy but also improvement of the long-term survival and postoperative quality of life. Among the available modalities, seamless enteral nutrition throughout the perioperative period is expected to play a central role. In addition, perioperative cancer rehabilitation and mental/social support should be kindly provided, particularly in elderly patients. Early recovery after esophageal cancer surgery may require the application of the latest knowledge and the perioperative practice of multi-occupational team medical care, according to the situation of each facility.

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Author information

Authors and Affiliations

  1. Division of Esophago-Gastrointestinal Surgery, Chiba Cancer Center, Chiba-shi, Chiba, 260-8717, Japan

    Yoshihiro Nabeya, Isamu Hoshino & Matsuo Nagata

  2. Department of Surgery, Sammu Medical Center, Sammu-shi, Chiba, 289-1326, Japan

    Akio Sakamoto

Authors
  1. Yoshihiro Nabeya
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  2. Isamu Hoshino
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  3. Matsuo Nagata
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  4. Akio Sakamoto
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Corresponding author

Correspondence to Yoshihiro Nabeya .

Editor information

Editors and Affiliations

  1. Department of Surgery, Teikyo University School of Medicine, Tokyo, Japan

    Ryoji Fukushima

  2. Department of Surgery, Kansai Medical University, Hirakata, Osaka, Japan

    Masaki Kaibori

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Nabeya, Y., Hoshino, I., Nagata, M., Sakamoto, A. (2018). Perioperative Management for Early Recovery after Esophageal Cancer Surgery. In: Fukushima, R., Kaibori, M. (eds) Enhanced Recovery after Surgery. Springer, Singapore. https://doi.org/10.1007/978-981-10-6796-9_8

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  • DOI: https://doi.org/10.1007/978-981-10-6796-9_8

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