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Updated: May 17, 2026
05:39
Non-Intubated Video-Assisted Thoracoscopic Surgery
Published on: May 26, 2023
Anesthetic management for esophageal resection
J Michael Jaeger1, Stephen R Collins, Randal S Blank
1TCV Surgical ICU, University of Virginia Health System, Charlottesville, VA 22908-0710, USA.
Anesthesiology Clinics
|October 24, 2012
Summary
Surgical resection is standard for localized esophageal cancer. This review focuses on anesthetic and perioperative strategies to improve patient outcomes and reduce high mortality risks associated with esophagectomy.
Area of Science:
- Oncology
- Surgical Gastroenterology
- Anesthesiology
Background:
- Localized esophageal cancer is typically treated with surgical resection.
- Esophagectomy techniques include open (transhiatal, transthoracic) and minimally invasive approaches.
- Significant perioperative mortality and morbidity, particularly cardiopulmonary and anastomotic complications, persist.
Purpose of the Study:
- To review the perioperative management of patients undergoing esophagectomy.
- To highlight evidence-based anesthetic strategies for improving patient outcomes.
- To discuss approaches for reducing complications and mortality associated with esophageal cancer surgery.
Main Methods:
- Review of existing literature on esophagectomy.
- Focus on anesthetic management and perioperative care protocols.
- Analysis of strategies aimed at mitigating surgical risks.
Main Results:
- Minimally invasive esophagectomy aims to reduce surgical morbidity.
- Cardiopulmonary and anastomotic complications remain leading causes of mortality.
- Evidence-based anesthetic and perioperative care are crucial for improving outcomes.
Conclusions:
- Optimizing anesthetic and perioperative management is essential for improving esophagectomy outcomes.
- Further research into advanced techniques and protocols can reduce patient mortality.
- Multidisciplinary approaches are key to managing complex esophageal cancer patients.
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