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Recent progress in perioperative management of patients undergoing esophagectomy for esophageal cancer

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Abstract

Esophagectomy remains the mainstay of curative intent treatment for esophageal cancer. Oncologic esophagectomy is a highly invasive surgery and both morbidity and mortality rates still remain high. Recently, it has been revealed that multidisciplinary perioperative management can decrease the postoperative complications after esophagectomy. In this review, we summarized the recent progress in each component of multidisciplinary perioperative care bundle, including oral hygiene, cessation of smoking and alcohol, respiratory training, measurement of physical fitness, swallowing evaluation and rehabilitation, nutritional support, pain control and management of delirium. The accumulation of evidence and the popularization of knowledge will increase safety of esophagectomy and thus improve the outcome of patients with esophageal cancer.

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Author information

Authors and Affiliations

  1. Esophageal Cancer Division, Department of Gastroenterological Surgery, Cancer Institute Hospital of Japanese Foundation for Cancer Research, 3-8-31 Ariake, Koto-ku, Tokyo, 135-8550, Japan

    Masayuki Watanabe, Akihiko Okamura, Tasuku Toihata, Kotaro Yamashita, Masami Yuda, Masaru Hayami, Ian Fukudome, Yu Imamura & Shinji Mine

Authors
  1. Masayuki Watanabe
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  2. Akihiko Okamura
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  3. Tasuku Toihata
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  4. Kotaro Yamashita
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  5. Masami Yuda
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  6. Masaru Hayami
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  7. Ian Fukudome
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  8. Yu Imamura
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  9. Shinji Mine
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Corresponding author

Correspondence to Masayuki Watanabe.

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Conflict of interest

Watanabe M, Okamura A, Toihata T, Yamashita K, Yuda M, Hayami M, Fukudome I, Imamura Y, and Mine S declare that they have no conflict of interest.

Ethical statement

All procedures followed were in accordance with the ethical standards of the responsible committee on human experimentation and with the Helsinki Declaration of 1964 and later versions.

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Watanabe, M., Okamura, A., Toihata, T. et al. Recent progress in perioperative management of patients undergoing esophagectomy for esophageal cancer. Esophagus 15, 160–164 (2018). https://doi.org/10.1007/s10388-018-0617-9

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  • DOI: https://doi.org/10.1007/s10388-018-0617-9

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