Preoperative evaluation of gastric cancer and risk factors for postoperative complications.
10.3760/cma.j.cn441530-20221021-00423
- VernacularTitle:胃癌术前评估与术后并发症高危因素
- Author:
K C ZHANG
1
;
C R LU
1
;
B L ZHANG
1
;
L CHEN
1
Author Information
1. Department of General Surgery, Chinese PLA General Hospital First Medical Center, Beijing 100853,China.
- Publication Type:Journal Article
- MeSH:
Humans;
Stomach Neoplasms/complications*;
Preoperative Care/adverse effects*;
Postoperative Complications/etiology*;
Gastrectomy/adverse effects*;
Risk Factors
- From:
Chinese Journal of Gastrointestinal Surgery
2023;26(2):144-147
- CountryChina
- Language:Chinese
-
Abstract:
Surgical resection plays pivotal role in the treatment of gastric cancer. Adequate preoperative evaluation, precise intraoperative maneuver and delicate postoperative management lay the foundation for successful gastrectomy. The aim of preoperative evaluation is to stage tumor and identify potential risk factors (including preoperative factors like age, ASA status, body mass index, comorbidity, hypoalbuminemia, and intraoperative factors like blood loss and combined resection) which could lead to postoperative complication. With the management of prehabilitation, adequate medical decision could be made and patient's fast recovery could be ensured. With the rapid adoption of ERAS concept, there is increasing attention to prehabilitation which focus on optimization of cardio-pulmonary capacity and muscular-skeletal capacity. Despite of the efficacy of prehabilitation demonstrated by randomized controlled trials, consensus has yet to be reached on the following items: specific intervention, optimal measurement, candidate population and optimal timing for intervention. Balancing the efficiency and safety, preoperative evaluation could be put into clinical practice smoothly.
