2．食道外科における周術期感染管理

Management of Postoperative Infectious Complications After Thoracic Esophagectomy

近年，食道癌では胸腔鏡下手術やロボット支援下手術などの低侵襲手術の普及がすすんでいるが，食道切除再建術が高い侵襲を伴う術式であることにかわりはなく，周術期管理は依然として非常に重要なテーマである．特に近年は患者の高齢化に伴い，もともとの身体機能の低下に加えさまざまな既往症を有する症例に対処する機会が徐々に多くなっている．

Although minimally invasive procedures such as thoracoscopic surgery and robot-assisted surgery have become increasingly popular in esophageal cancer in recent years, perioperative management remains a very important topic. However, perioperative management is still an extremely important issue, as esophagectomy is still a highly invasive procedure. Especially in recent years, as the patient population ages, it is expected that we will have more and more opportunities to deal with patients with various pre-existing medical conditions in addition to the original decline in physical function. In this article, we discuss the management of infectious complications in the perioperative management of esophageal surgery, with a particular focus on esophagectomy and reconstruction.