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Präoperatives Risiko und postoperativer Verlauf in der Chirurgie des Oesophagus-Ca.

  • H. Bartels
  • J. J. Stein
  • J. R. Siewert
Conference paper
Part of the Langenbecks Archiv für Chirurgie book series (DTGESCHIR, volume 1996)

Preoperative Risk and Postoperative Course in the Surgery of Esophageal Cancer

Summary

The risk involved in esophagectomy in patients with esophageal cancer is related to the general preoperative status of the patient and to the cardiac, pulmonary and hepatic functions. This can be objectively assessed prior to surgery and quantified by a composite risk score. Strict inclusion of the risk score in the preoperative decision-making process resulted in a marked decrease in postoperative mortality at our institution to 1.8%.

Literatur

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    Bartels H, Thorban S, Siewert JR (1993) Anterior versus posterior reconstruction after transhiatal esophagectomy. A randomized controlled trial. Br J Surg 80:1141–1144PubMedCrossRefGoogle Scholar
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    Guili R, Sancho-Garnier H (1986) Diagnostic, therapeutic and prognostic features of cancers of the esophagus. Results of the international prospective study conducted by the OESO group. Surgery 99:614–620Google Scholar
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    Tsutzui S, Morigucha S, Morita M (1992) Multivariate analysis of postoperative complications after esophageal resection. Ann Thorac Surg 53:1052–1056CrossRefGoogle Scholar

Copyright information

© Springer-Verlag Berlin Heidelberg 1996

Authors and Affiliations

  • H. Bartels
    • 1
  • J. J. Stein
    • 1
  • J. R. Siewert
    • 1
  1. 1.Chirurgische Klinik und PoliklinikTU MünchenMünchenDeutschland

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