CAJ | 학술논문

食管切除术系目前风险最高的手术之一，良好的麻醉不但是术后患者迅速康复、减少并发症的保证，也是影响食管癌患者远期生存的潜在因素之一，但目前往往为食管外科医生所忽视。本文就术前禁食水及麻醉诱导，术中单肺通气与液体管理，术后早期拔管及镇痛等全过程与食管癌手术安全性的关系作一介绍，供大家参考。
식관절제술계목전풍험최고적수술지일，량호적마취불단시술후환자신속강복、감소병발증적보증，야시영향식관암환자원기생존적잠재인소지일，단목전왕왕위식관외과의생소홀시。본문취술전금식수급마취유도，술중단폐통기여액체관리，술후조기발관급진통등전과정여식관암수술안전성적관계작일개소，공대가삼고。
Esophagectomy is one of the most complicated procedures. Satisfactory anesthesia not only ensures the safety in terms of low morbidity and mortality postoperatively, but also one of the potential factors relevant to long-term survival. Most of physicians, however, ignore the significance of anesthesia. This article focuses on the recent advances of anesthesia for esophagectomy in preoperative preparation for induction, rapid-sequence induction, one-lung ventilation, fluid management during surgery and postoperative early extubation and analgesia.