Thoughts on Risk Factors, Evaluation and Preventive Measures of Esophageal Cancer Surgery_Chinese Journal of Clinical Thoracic and Cardiovascular Surgery

Authors：

YINZhang-ju ¹ ,  LIGuo-ren ^1,2

1. Department of Tumor Surgery, Lianyungang Shengan Hospital, Lianyungang 222000 Jiangsu, P. R. China;
2. Department of Thoracic Surgery, Lianyungang First People's Hospital, Lianyungang 222000 Jiangsu, P. R. China;

Corresponding author：

LIGuo-ren, Email: liguor2011@163.com

Keywords：

Esophageal cancer surgery; Risk factors; Evaluation methods; Preventive measures

DOI：

10.7507/1007-4848.20160205

Video：

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Esophageal carcinoma surgery belongs to high risk subjects. Esophageal carcinoma radical resection and reconstruction is popular in the surgical field and one of the most challenging operations. How to understand, evaluate and treat risks, take corresponding measures, so as to reduce and avoid risks, has been the focus of clinical attention and research. we base on clinical work practices, review the relevant literatures, try to review the risk factors of Esophageal cancer surgery, evaluation methods, risk classification, and its preventive countermeasures for preliminary thinking and discussions, to provide a useful reference to development of a scientific, rational and practical Esophageal cancer surgery risk scoring system.

Citation： YINZhang-ju, LIGuo-ren. Thoughts on Risk Factors, Evaluation and Preventive Measures of Esophageal Cancer Surgery. Chinese Journal of Clinical Thoracic and Cardiovascular Surgery, 2016, 23(9): 851-858. doi: 10.7507/1007-4848.20160205 Copy

1.	邵令方, 高宗人, 卫功铨, 等.食管癌和贲门癌的外科治疗.中华外科杂志2001, 39(1):44-46.
2.	Morita M, Egashira A, Yoshida R, et al. Esophagectomy in patients 80 years of age and older with carcinoma of the thoracic esophagus. J Gastroenterol, 2008, 43(5):345-351.
3.	张逊, 韩洪利, 石珍亮.影响食管癌切除手术死亡率的因素分析.中华外科杂志, 2007, 45(10):696-698.
4.	江学成.手术风险预测方法解读.中国实用外科杂志, 2007, 27(9):746-749.
5.	Kinugasa S, Tachibana M, Yoshimuta H, et al. Esophageal resection in elderly esophageal carcinoma pationts; Improvement in postoperative complications. Ann Thorac Surg, 2001, 71:414-418.
6.	Steyerberg EW, Neville BA, Koppert LB, et al. Surgical mortality inpatients with esophageal cancer:development and validation of a simple risk score. J Clin Oncol, 2006, 24(26):4277-4284.
7.	李国仁, 戴建华.对我国食管癌外科的现状和前景的思考.食管外科电子杂志, 2014, 2(1):26-32.
8.	胡崇明, 周福有, 付东宏.普胸手术后脑血管意外的防治.中国胸心血管外科临床杂志, 2014, 21(4):567-569.
9.	杨迅, 吴捷, 陈奇勋, 等. 70岁以上食管癌患者术后肺部并发症危险因素分析.中华老年医学杂志, 2009, 28(1):33-36.
10.	张林, 齐海.食管癌术后肺部感染的原因及防治进展.中国胸心血管外科临床杂志, 2013, 20(5):588-591.
11.	盂照杰.冠心病非心脏手术患者围手术期风险评估预测和麻醉实施.医学综述, 2006, 12(7):413-415.
12.	Mullen JT, Davenport DL, Hutter MM, et al.Impact of body mass index on perioperative outcomes in patients undergoing major intra-abdominal cancer surgery. Ann Surg Oncol, 2008, 15(8):2164-2172.
13.	郭伟, 王文凭, 蒋耀光.食管切除术围手术期处理进展.中国胸心血管外科临床杂志, 2010, 17(2):145-149.
14.	Kilic A, Schuchert MJ, Pennathur A, et al. Impact of obesity on perioperative outcomes of minimally esophagectomy, Ann Thorac Surg, 2009, 87(2):412-415.
15.	Madani K, Zhao R, Lim HJ, et al. Obesity is not associated with adverse outcome following surgical resection of oesophageal adenocarcinoma. Eur Cardiothorac Surg, 2010, 38(5):604-608.
16.	黄国俊.半个世纪以来我国食管癌外科治疗的基本经验.中华肿瘤杂志, 2007, 29(10):795-797.
17.	李国仁.食管癌术后全身炎症反应及其综合征.食管外科电子杂志, 2013, 1(1):27-32.
18.	张延龄, 项建斌.外科手术的风险预测和临床评价.临床外科杂志, 2006, 14(9):540-541.
19.	徐芳, 孙洁, 张雷.老年癌症患者的临床评估.中国医师进修杂志, 2008, 31(1):69-71.
20.	马柱, 李德生, 阿不都艾尼.吐尔洪, 等.生理学和手术侵袭度评分在肺癌手术风险预测中的应用.中国胸心血管外科临床杂志, 2012, 19(1):31-35.
21.	杨利伟, 志斌, 何宏涛, 等. Possum评分在判断食管贲门癌手术预后中的价值.中华外科杂志, 2008, 46(4):1100-1102.
22.	毛斌, 阎晓蕾, 陈英, 等.常用风险评估系统在心脏手术后风险评估中的应用.中国胸心血管外科临床杂志, 2010, 17(2):114-118.
23.	Knaus WA, Draper EA, Wagner DP, et al. APACHE Ⅱ:aseverity of disease classification system. Crit Care Med, 1985, 13:818-829.
24.	Copeland PS. The POSSUM system of surgical audit. Arch Surg, 2002, 137(1):15-19.
25.	Guigoz Y, Lauque S, Vellas BJ. Identifying the elderly at risk for malnutrition, The Mini Nutritional Assessment. Clin Geriatr Med, 2002, 18(4):737-757.
26.	骆鹏.老年癌症患者合并症临床评价方法.国际肿瘤学杂志, 2008, 1:67-68.
27.	吴彬, 徐志飞, 赵学维, 等.高龄食管癌贲门癌患者术后主要并发症的原因分析.第二军医大学学报, 2003, 24(1):113-115.
28.	Karnath BM. Preoperative cardiac risk assessment. Am Fam Physician, 2002, 66(10):1889-1897.
29.	Eagle KA, Berger PB. ACC/AHA guideline update for preoperative cardiovascular evaluation for noncardiac Cardiac Surgery executive summary. Circulation, 2002, 105(10):1257-1267.
30.	支修益.胸外科围手术期气道管理专家共识(2012年版).中国胸心血管外科临床杂志, 2013, 20(3):251-255.
31.	钱锦贤, 洪志鹏.开胸手术与肺功能.医学综述, 2007, 13(4):309-311.
32.	唐宁.食管癌手术对老年患者肺功能的影响与对策.检验医学与临床, 2010, 7(19):2136-2140.
33.	李国仁, 戴建华, 刘晓峰, 等.高龄食管贲门癌患者肺功能综合量化评估及其临床意义.实用癌症杂志, 2001, 16(5):518-520.
34.	刘勇.肝疾病患者手术风险评估.医学综述, 2008, 14(4):1517-1520.
35.	张双林, 张庄, 翟建国. 35例食管贲门癌伴糖尿病的外科治疗体会.中华胸心血管外科杂志, 1999, 15(2):108-109.
36.	李国仁, 李喆田.食管癌分期方法的现状、评价和思考.食管外科电子杂志, 2013, 1(4):155-160.
37.	孙超, 石维平, 束余声, 等. 70岁以上食管癌患者术式选择及并发症的原因分析.实用老年医学杂志, 2006, 20(4):260-261.
38.	孙宝全, 安爱红, 严庆贤.手术安全核对与手术风险评估的临床应用.中国医院管理, 2010, 30(3):28-29.
39.	Bartels H, Stein HJ, Siewert JR. Risk analysis inesophageal Surgery. Recent Results Cancer Res, 2000, 155:89-96.
40.	王文凭, 陈龙奇.食管癌外科治疗的现状与展望.中国胸心血管外科临床杂志, 2011, 18(1):58-65.
41.	郭永松, 华淑芳.医疗风险、责任与对策.医学与哲学, 2003, 24(4):1-4.
42.	孙志勇, 曹子昂, 叶清, 等.术前运用NRS2002评估食管癌患者营养风险及临床结局的研究.中国胸心血管外科临床杂志, 2015, 22(4):323-326.
43.	车国卫, 刘伦旭, 石应康.加速康复外科临床应用现状与思考.中国胸心血管外科临床杂志, 2016, 23(3):211-215.

1. 邵令方, 高宗人, 卫功铨, 等.食管癌和贲门癌的外科治疗.中华外科杂志2001, 39(1):44-46.
2. Morita M, Egashira A, Yoshida R, et al. Esophagectomy in patients 80 years of age and older with carcinoma of the thoracic esophagus. J Gastroenterol, 2008, 43(5):345-351.
3. 张逊, 韩洪利, 石珍亮.影响食管癌切除手术死亡率的因素分析.中华外科杂志, 2007, 45(10):696-698.
4. 江学成.手术风险预测方法解读.中国实用外科杂志, 2007, 27(9):746-749.
5. Kinugasa S, Tachibana M, Yoshimuta H, et al. Esophageal resection in elderly esophageal carcinoma pationts; Improvement in postoperative complications. Ann Thorac Surg, 2001, 71:414-418.
6. Steyerberg EW, Neville BA, Koppert LB, et al. Surgical mortality inpatients with esophageal cancer:development and validation of a simple risk score. J Clin Oncol, 2006, 24(26):4277-4284.
7. 李国仁, 戴建华.对我国食管癌外科的现状和前景的思考.食管外科电子杂志, 2014, 2(1):26-32.
8. 胡崇明, 周福有, 付东宏.普胸手术后脑血管意外的防治.中国胸心血管外科临床杂志, 2014, 21(4):567-569.
9. 杨迅, 吴捷, 陈奇勋, 等. 70岁以上食管癌患者术后肺部并发症危险因素分析.中华老年医学杂志, 2009, 28(1):33-36.
10. 张林, 齐海.食管癌术后肺部感染的原因及防治进展.中国胸心血管外科临床杂志, 2013, 20(5):588-591.
11. 盂照杰.冠心病非心脏手术患者围手术期风险评估预测和麻醉实施.医学综述, 2006, 12(7):413-415.
12. Mullen JT, Davenport DL, Hutter MM, et al.Impact of body mass index on perioperative outcomes in patients undergoing major intra-abdominal cancer surgery. Ann Surg Oncol, 2008, 15(8):2164-2172.
13. 郭伟, 王文凭, 蒋耀光.食管切除术围手术期处理进展.中国胸心血管外科临床杂志, 2010, 17(2):145-149.
14. Kilic A, Schuchert MJ, Pennathur A, et al. Impact of obesity on perioperative outcomes of minimally esophagectomy, Ann Thorac Surg, 2009, 87(2):412-415.
15. Madani K, Zhao R, Lim HJ, et al. Obesity is not associated with adverse outcome following surgical resection of oesophageal adenocarcinoma. Eur Cardiothorac Surg, 2010, 38(5):604-608.
16. 黄国俊.半个世纪以来我国食管癌外科治疗的基本经验.中华肿瘤杂志, 2007, 29(10):795-797.
17. 李国仁.食管癌术后全身炎症反应及其综合征.食管外科电子杂志, 2013, 1(1):27-32.
18. 张延龄, 项建斌.外科手术的风险预测和临床评价.临床外科杂志, 2006, 14(9):540-541.
19. 徐芳, 孙洁, 张雷.老年癌症患者的临床评估.中国医师进修杂志, 2008, 31(1):69-71.
20. 马柱, 李德生, 阿不都艾尼.吐尔洪, 等.生理学和手术侵袭度评分在肺癌手术风险预测中的应用.中国胸心血管外科临床杂志, 2012, 19(1):31-35.
21. 杨利伟, 志斌, 何宏涛, 等. Possum评分在判断食管贲门癌手术预后中的价值.中华外科杂志, 2008, 46(4):1100-1102.
22. 毛斌, 阎晓蕾, 陈英, 等.常用风险评估系统在心脏手术后风险评估中的应用.中国胸心血管外科临床杂志, 2010, 17(2):114-118.
23. Knaus WA, Draper EA, Wagner DP, et al. APACHE Ⅱ:aseverity of disease classification system. Crit Care Med, 1985, 13:818-829.
24. Copeland PS. The POSSUM system of surgical audit. Arch Surg, 2002, 137(1):15-19.
25. Guigoz Y, Lauque S, Vellas BJ. Identifying the elderly at risk for malnutrition, The Mini Nutritional Assessment. Clin Geriatr Med, 2002, 18(4):737-757.
26. 骆鹏.老年癌症患者合并症临床评价方法.国际肿瘤学杂志, 2008, 1:67-68.
27. 吴彬, 徐志飞, 赵学维, 等.高龄食管癌贲门癌患者术后主要并发症的原因分析.第二军医大学学报, 2003, 24(1):113-115.
28. Karnath BM. Preoperative cardiac risk assessment. Am Fam Physician, 2002, 66(10):1889-1897.
29. Eagle KA, Berger PB. ACC/AHA guideline update for preoperative cardiovascular evaluation for noncardiac Cardiac Surgery executive summary. Circulation, 2002, 105(10):1257-1267.
30. 支修益.胸外科围手术期气道管理专家共识(2012年版).中国胸心血管外科临床杂志, 2013, 20(3):251-255.
31. 钱锦贤, 洪志鹏.开胸手术与肺功能.医学综述, 2007, 13(4):309-311.
32. 唐宁.食管癌手术对老年患者肺功能的影响与对策.检验医学与临床, 2010, 7(19):2136-2140.
33. 李国仁, 戴建华, 刘晓峰, 等.高龄食管贲门癌患者肺功能综合量化评估及其临床意义.实用癌症杂志, 2001, 16(5):518-520.
34. 刘勇.肝疾病患者手术风险评估.医学综述, 2008, 14(4):1517-1520.
35. 张双林, 张庄, 翟建国. 35例食管贲门癌伴糖尿病的外科治疗体会.中华胸心血管外科杂志, 1999, 15(2):108-109.
36. 李国仁, 李喆田.食管癌分期方法的现状、评价和思考.食管外科电子杂志, 2013, 1(4):155-160.
37. 孙超, 石维平, 束余声, 等. 70岁以上食管癌患者术式选择及并发症的原因分析.实用老年医学杂志, 2006, 20(4):260-261.
38. 孙宝全, 安爱红, 严庆贤.手术安全核对与手术风险评估的临床应用.中国医院管理, 2010, 30(3):28-29.
39. Bartels H, Stein HJ, Siewert JR. Risk analysis inesophageal Surgery. Recent Results Cancer Res, 2000, 155:89-96.
40. 王文凭, 陈龙奇.食管癌外科治疗的现状与展望.中国胸心血管外科临床杂志, 2011, 18(1):58-65.
41. 郭永松, 华淑芳.医疗风险、责任与对策.医学与哲学, 2003, 24(4):1-4.
42. 孙志勇, 曹子昂, 叶清, 等.术前运用NRS2002评估食管癌患者营养风险及临床结局的研究.中国胸心血管外科临床杂志, 2015, 22(4):323-326.
43. 车国卫, 刘伦旭, 石应康.加速康复外科临床应用现状与思考.中国胸心血管外科临床杂志, 2016, 23(3):211-215.

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