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Patient Selection according to General Condition and Associated Disease

  • Giovanni de Manzoni
  • Corrado Pedrazzani
  • Andrea Zanoni
  • Jacopo Weindelmayer
Part of the Updates in Surgery book series (UPDATESSURG)

Abstract

Esophagectomy and the complete spectrum of treatment of esophageal cancer are unanimously considered to be complex, with very high risks of treatment-related complications. Esophageal squamous cell carcinoma (ESCC) is a highly aggressive disease that is usually diagnosed at an advanced stage. Malnutrition, low performance status, and cachexia are frequently seen in these patients at diagnosis.

Keywords

Chronic Obstructive Pulmonary Disease Esophageal Cancer Esophageal Squamous Cell Carcinoma Portal Hypertension Transjugular Intrahepatic Portosystemic Shunt 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

References

  1. 1.
    Dhungel B, Diggs BS, Hunter JG (2010) Patient and peri-operative predictors of morbidity and mortality after esophagectomy: American College of Surgeons National Surgical Quality Improvement Program (ACS-NSQIP), 2005–2008. J Gastrointest Surg 14:1492–1501PubMedCrossRefGoogle Scholar
  2. 2.
    Wright CD, Kucharczuk JC, O’Brien SM et al (2009) Society of Thoracic Surgeons General Thoracic Surgery Database. Predictors of major morbidity and mortality after esophagectomy for esophageal cancer: a Society of Thoracic Surgeons General Thoracic Surgery Database risk adjustment model. J Thorac Cardiovasc Surg 137:587–595PubMedCrossRefGoogle Scholar
  3. 3.
    Avendano CE, Flume PA, Silvestri GA et al (2002) Pulmonary complications after esophagectomy. Ann Thorac Surg 73:922–926PubMedCrossRefGoogle Scholar
  4. 4.
    Law S, Wong KH, Kwok KF (2004) Predictive factors for postoperative pulmonary complications and mortality after esophagectomy for cancer. Ann Surg 240:791–800PubMedCentralPubMedCrossRefGoogle Scholar
  5. 5.
    Atkins BZ, D’Amico TA (2006) Respiratory complications after esophagectomy. Thorac Surg Clin 16:35–48PubMedCrossRefGoogle Scholar
  6. 6.
    Grotenhuis BA, Wijnhoven BP, Grüne F (2010) Preoperative risk assessment and prevention of complications in patients with esophageal cancer. J Surg Oncol 101:270–278PubMedGoogle Scholar
  7. 7.
    Cijs TM, Verhoef C, Steyerberg EW (2010) Outcome of esophagectomy for cancer in elderly patients. Ann Thorac Surg 90:900–907PubMedCrossRefGoogle Scholar
  8. 8.
    Alexiou C, Beggs D, Salama FD (1998) Surgery for esophageal cancer in elderly patients: the view from Nottingham. J Thorac Cardiovasc Surg 116:545–553PubMedCrossRefGoogle Scholar
  9. 9.
    Ellis FH Jr, Williamson WA, Heatley GJ (1998) Cancer of the esophagus and cardia: does age influence treatment selection and surgical outcomes? J Am Coll Surg 187:345–551PubMedCrossRefGoogle Scholar
  10. 10.
    Yang HX, Ling L, Zhang X et al (2010) Outcome of elderly patients with oesophageal squamous cell carcinoma after surgery. Br J Surg 97:862–867PubMedCrossRefGoogle Scholar
  11. 11.
    Ruol A, Portale G, Zaninotto G et al (2007) Results of esophagectomy for esophageal cancer in elderly patients: age has little influence on outcome and survival. J Thorac Cardiovasc Surg 33:1186–1192CrossRefGoogle Scholar
  12. 12.
    Zehetner J, Lipham JC, Ayazi S (2010) Esophagectomy for cancer in octogenarians. Dis Esophagus 23:666–669PubMedCrossRefGoogle Scholar
  13. 13.
    Takeno S, Takahashi Y, Watanabe S (2008) Esophagectomy in patients aged over 80 years with esophageal cancer. Hepatogastroenterology 55:453–456PubMedGoogle Scholar
  14. 14.
    Davies L, Lewis WG, Arnold DT et al (2010) Prognostic significance of age in the radical treatment of oesophageal cancer with surgery or chemoradiotherapy: a prospective observational cohort study. Clin Oncol (R Coll Radiol) 22:578–585CrossRefGoogle Scholar
  15. 15.
    Enzinger PC, Mayer RJ (2003) Esophageal cancer. N Engl J Med 349:2241–2252PubMedCrossRefGoogle Scholar
  16. 16.
    Grotenhuis BA, Wijnhoven BP, Hötte GJ et al (2010) Prognostic value of body mass index on short-term and long-term outcome after resection of esophageal cancer. World J Surg 34:2621–2627PubMedCentralPubMedCrossRefGoogle Scholar
  17. 17.
    Healy LA, Ryan AM, Gopinath B (2007) Impact of obesity on outcomes in the management of localized adenocarcinoma of the esophagus and esophagogastric junction. J Thorac Cardiovasc Surg 134:1284–1291PubMedCrossRefGoogle Scholar
  18. 18.
    Scipione CN, Chang AC, Pickens A et al (2007) Transhiatal esophagectomy in the profoundly obese: implications and experience. Ann Thorac Surg 84:376–382PubMedCrossRefGoogle Scholar
  19. 19.
    Shapiro M, Swanson SJ, Wright CD (2010) Predictors of major morbidity and mortality after pneumonectomy utilizing the Society for Thoracic Surgeons General Thoracic Surgery Database. Ann Thorac Surg 90:927–934PubMedCrossRefGoogle Scholar
  20. 20.
    Abunasra H, Lewis S, Beggs L (2005) Predictors of operative death after oesophagectomy for carcinoma. Br J Surg 92:1029–1033PubMedCrossRefGoogle Scholar
  21. 21.
    Elsayed H, Whittle I, McShane J et al (2010) The influence of age on mortality and survival in patients undergoing esophagogastrectomies. A seven years experience in a tertiary center. Interact Cardiovasc Thorac Surg 11:65–69PubMedCrossRefGoogle Scholar
  22. 22.
    Hulscher JB, Tijssen JG, Obertop H, van Lanschot JJ (2001) Transthoracic versus transhiatal resection for carcinoma of the esophagus: a meta-analysis. Ann Thorac Surg 72:306–313PubMedCrossRefGoogle Scholar
  23. 23.
    Hulscher JB, van Sandick JW, de Boer AG et al (2002) Extended transthoracic resection compared with limited transhiatal resection for adenocarcinoma of the esophagus. N Engl J Med 347:1662–1629PubMedCrossRefGoogle Scholar
  24. 24.
    Fujita H, Hawahara H, Yamana H, et al (1988) Mediastinal lymphnode dissection procedure during esophageal cancer operation—Carefully considered for preserving respiratory function. Jpn J Surg 18:31–34PubMedCrossRefGoogle Scholar
  25. 25.
    Pramesh CS, Mistry RC, Sharma S et al (2004) Bronchial artery preservation during transthoracic esophagectomy. J Surg Oncol 85:202–203PubMedCrossRefGoogle Scholar
  26. 26.
    Nakamura M, Iwahashi M, Nakamoni M et al (2008) An analysis of the factors contributing to a reduction in the incidence of pulmonary complications following an esophagectomy for esophageal cancer. Langenbecks Arch Surg 393:127–133PubMedCrossRefGoogle Scholar
  27. 27.
    Decker G, Coosemans W, De Leyn P et al (2009) Minimally invasive esophagectomy for cancer. Eur J Cardiothorac Surg 35:13–20PubMedCrossRefGoogle Scholar
  28. 28.
    Gayed I, Gohar S, Liao Z (2009) The clinical implications of myocardial perfusion abnormalities in patients with esophageal or lung cancer after chemoradiation therapy. Int J Cardiovasc Imaging 25:487–495PubMedCrossRefGoogle Scholar
  29. 29.
    Mariette C (2008) Is there a place for esogastric cancer surgery in cirrhotic patients? Ann Surg Oncol 15:680–682PubMedCentralPubMedCrossRefGoogle Scholar
  30. 30.
    Pugh R, Murray-Lyon I (1973) Transection of the esophagus in bleeding esophageal varices. Br J Surg 60:646–652PubMedCrossRefGoogle Scholar
  31. 31.
    Friedman LS (2010) Surgery in the patient with liver disease. Trans Am Clin Climatol Assoc 121:192–204PubMedCentralPubMedGoogle Scholar
  32. 32.
    Lu MS, Liu YH, Wu YC et al (2005) Is it safe to perform esophagectomy in esophageal cancer patients combined with liver cirrhosis? Interact Cardiovasc Thorac Surg 4:423–425PubMedCrossRefGoogle Scholar
  33. 33.
    Tachibana M, Kotoh T, Kinugasa S et al (2000) Esophageal cancer with cirrhosis of the liver: results of esophagectomy in 18 consecutive patients. Ann Surg Oncol 7:758–763PubMedCrossRefGoogle Scholar
  34. 34.
    Belghiti J, Cherqui D, Langonnet F, Fékété F (1990) Esophagogastrectomy for carcinoma in cirrhotic patients. Hepatogastroenterology 37:388–391PubMedGoogle Scholar
  35. 35.
    Kato T, Motohara T, Kaneko Y et al (2001) Two cases of esophageal cancer with portal hypertension: esophagectomy with venous shunt procedure. Hepatogastroenterology 48:1656–1658PubMedGoogle Scholar
  36. 36.
    Azoulay D, Buabse F, Damiano I (2001) Neoadjuvant transjugular intrahepatic portosystemic shunt: a solution for extrahepatic abdominal operation in cirrhotic patients with severe portal hypertension. J Am Coll Surg 193:46–51PubMedCrossRefGoogle Scholar
  37. 37.
    Kim JJ, Dasika NL, Yu E, Fontana RJ (2009) Cirrhotic patients with a transjugular intrahepatic portosystemic shunt undergoing major extrahepatic surgery. J Clin Gastroenterol 43:574–579PubMedCrossRefGoogle Scholar
  38. 38.
    Iwase H, Kusugami K, Suzuki M et al (2000) Endoscopic resection of early-stage esophageal cancer accompanied by esophageal varices. Gastrointest Endosc 51:749–552PubMedCrossRefGoogle Scholar
  39. 39.
    Inoue H, Endo M, Takeshita K et al (1991) Endoscopic resection of carcinoma in situ of the esophagus accompanied by esophageal varices. Surg Endosc 5:182–184PubMedCrossRefGoogle Scholar
  40. 40.
    Ciocîrlan M, Chemali M, Lapalus MG (2008) Esophageal varices and early esophageal cancer: can we perform endoscopic mucosal resection (EMR)? Endoscopy 40:E91CrossRefGoogle Scholar

Copyright information

© Springer-Verlag Italia 2012

Authors and Affiliations

  • Giovanni de Manzoni
    • 1
  • Corrado Pedrazzani
  • Andrea Zanoni
  • Jacopo Weindelmayer
  1. 1.Dept. of Surgery, Upper G.I. Surgery DivisionUniversity of VeronaVeronaItaly

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