Advantages and application of restricted fluid therapy after resection of esophageal carcinoma
- VernacularTitle:食管癌术后限制性补液方案的优势及应用
- Author:
Yanlin DU
1
;
Yong CUI
1
Author Information
1. Department of Thoracic Surgery, Beijing Friendship Hospital, Capital Medical University, Beijing, 100050, P. R. China
- Publication Type:Journal Article
- Keywords:
Esophageal cancer;
perioperative period;
fluid therapy;
review
- From:
Chinese Journal of Clinical Thoracic and Cardiovascular Surgery
2022;29(02):257-261
- CountryChina
- Language:Chinese
-
Abstract:
The incidence of complications after radical resection of esophageal carcinoma is high up to about 20%-50%. The incidence of pneumonia, pleural effusion, tracheal intubation, anastomotic fistula and cardiac events is relatively high. Among them, pulmonary complications are the most common complications after esophageal cancer operation and cause the most perioperative deaths. Among the factors that influence the occurrence of postoperative complications of esophageal cancer, the amount of fluid infusion during and after the operation is closely related to the occurrence of postoperative complications. Moreover, in the environment of enhanced recovery after surgery (ERAS), it is more important to optimize the postoperative fluid management of esophageal cancer. Restricted fluid therapy plays a more and more important role in patients undergoing esophagectomy. This review integrated the relevant research results and discussed the advantages of the restricted fluid therapy compared with other fluid therapy, how to control the restricted infusion volume and infusion speed and how to monitor and evaluate the infusion process and the selection of infusion types, so as to provide reference for clinical practice test.
