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British Journal of Anaesthesia, 2001, Vol. 86, No. 5 611-613
© 2001 The Board of Management and Trustees of the British Journal of Anaesthesia

Editorial

Editorial II

How can we improve the outcome of oesophagectomy?

K.M. Sherry

Approximately 2000 oesophagectomies are performed in England each year with a 30-day mortality of between 9.5 and 10.5%.1 Most surgeons that perform oesophagectomies within the UK have a practice of fewer than 40 patients per year, many less than 20 patients per year. This then is a low volume but high-risk operation. Long term survival after surgery for oesophageal cancer remains gloomy with fewer than 25% of patients surviving for 5 yr.2 3 There is a need to identify perioperative factors implicated in a poor post-operative outcome so those patients vulnerable to complications can be targeted for more intensive monitoring and treatment. In order to provide sufficient patient numbers for analysis, most studies of perioperative risk for oesophagectomy have been performed on retrospective data acquired over several years. It is widely recognized that pulmonary complications following oesophagectomy are associated with patient death, either as a primary condition or secondary to complications . . . [Full Text of this Article]

Pulmonary disorders

Anastomotic leaks

Cardiovascular complications

References


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