Postoperative Management for Patients with Esophageal Cancer

Michihiko Kitamura

Second Department of Surgery, Akita University School of Medicine

The rate of death within one month after operatikon was 1% and the safety of surgery for esophageal cancer was considered to be established. But the rates of postoperative complications were still high and distinct postoperative management should be required. In this paper, 1) ordinary physiological changes and laboratory findings in patients after surgery for esophageal cancer, 2) standard postoperative management of respiration, circulation, fluid and nutrition, antibiotics and pain, and 3) treatment for postoperative complications such as pulmonary failure and circulatory disturbance were mentioned. The importance of preoperative functional evaluation of patients, modifivation of the management after operation based on the findings and procedures during operation, early detection of abnormal findings and early treatment for postoperative complications, and close cooperation with the anesthesiologist with regard to perioperative management, especially for respiratory and fluid therapy, should be stressed.

Key words
postoperative management for patients with esophageal cancer

Reprint requests
Michihiko Kitamura Second Department of Surgery, Akita University School of Medicine
1-1-1 Hondo Akita, 010 JAPAN

Accepted
November 5, 1997

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