Surgical treatment of the cancer patient: preoperative assessment and perioperative medical management.

Abstract:

:Cancer patients undergoing surgery often present with unusual and challenging problems. Their age and the fact that they are often chronically ill place them at increased surgical risk. In many instances the need for surgical intervention is crucial to the extent that risk-assessment becomes an academic issue, especially for those patients whose only reasonable chance for either cure or palliation of unbearable disease is surgery. However, the internist's role in these situations often has preoperative, intraoperative, and postoperative ramifications. Preoperatively, the internist assesses operative risk and intervenes, when possible, to reduce the likelihood of surgical complications. Patients who clearly cannot survive surgery may be identified and channeled to other treatment modalities. Intraoperatively, the internist may be called upon to help with the management of acute organ failure, cardiac arrest, or vascular collapse. Following surgery, the internist may help by managing cardiopulmonary problems and treating infectious complications. The critical care internist is therefore an important member of the perioperative team and often provides valuable expertise, which can help to identify and treat problems expediently.

journal_name

J Surg Oncol

authors

Ewer MS,Ali MK

doi

10.1002/jso.2930440312

subject

Has Abstract

pub_date

1990-07-01 00:00:00

pages

185-90

issue

3

eissn

0022-4790

issn

1096-9098

journal_volume

44

pub_type

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