Anaesthetic perioperative management of patients with pancreatic cancer
Anaesthetic perioperative management of patients with pancreatic cancer作者机构：Division of Anaesthesiology and Intensive Care Unit Azienda Ospedaliero-Universitaria di Modena-Policlinico 41100 Modena Italy Transplantation Surgery Azienda Ospedaliero-Universitaria Ospedali Riuniti di Ancona 60126 Modena Italy
出 版 物：《World Journal of Gastroenterology》 (世界胃肠病学杂志（英文版）)
年 卷 期：2014年第20卷第9期
页 面：2304-2320页
核心收录：
学科分类：1002[医学-临床医学] 100214[医学-肿瘤学] 10[医学]
主 题：Pancreatic cancer Pancreatic surgery Perioperative anaesthesia management
摘 要：Pancreatic cancer remains a significant and unresolved therapeutic ***,the only curative treatment for pancreatic cancer is surgical *** surgery represents a technically demanding major abdominal procedure that can occasionally lead to a number of pathophysiological alterations resulting in increased morbidity and ***,rather than surgical complications,cause the majority of *** patients are increasingly referred to surgery with at advanced ages and because pancreatic surgery is extremely complex,anaesthesiologists and surgeons play a crucial role in preoperative evaluations and diagnoses for surgical *** anaesthetist plays a key role in perioperative management and can significantly influence patient *** optimise overall care,patients should be appropriately referred to tertiary centres,where multidisciplinary teams(surgical,medical,radiation oncologists,gastroenterologists,interventional radiologists and anaesthetists)work together and where close cooperation between surgeons and anaesthesiologists promotes the safe performance of major gastrointestinal surgeries with acceptable morbidity and mortality *** this review,we sought to provide simple daily recommendations to the clinicians who manage pancreatic surgery patients to make their work easier and suggest a joint approach between surgeons and anaesthesiologists in daily decision making.
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