Letizia Andresciani
The complexity of cancer patients and the use of advanced and demolitive surgical techniques frequently need post operatory intensive care hospitalization. In order to increase safety and to select the best medical strategies for each single patient, a multidisciplinary team consisting of anesthesiologists, cancer surgeons, pharmacists, psychologists, statisticians and nurses has performed a new peri operatory assessment, arising from evidence-based literature data. The team focused the attention on supramesocolic peridiaphragmatic cancer surgery, such as esophagectomy, lobectomy and pneumonectomy, hepatic metastasectomy, pancreatectomy, gastrectomy and splenectomy. The clinical data concerning patients hospitalized in 2018 in postoperative ICU of the Cancer Institute Giovanni Paolo II of Bari were retrospectively analyzed. The following case report aim sat demonstrating how a perioperative evaluation is necessary to predict complications related to surgical treatment versus nonmultidisciplinary and unstructured assessments. Our first results will be confirmed by an ongoing retrospective study on a large number of patients and by future prospective studies.
Keywords: Perioperative period; Patient assessment; Cancer surgery
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