Personal preparation before surgery for esophageal cancer patients

Esophageal cancer surgery is time-consuming and complex. In order to achieve satisfactory results, patients should fully cooperate. The most important thing is to make good preoperative preparations to lay a good foundation for the operation.

Improve oral hygiene

Brush your teeth frequently and gently with a soft-bristled toothbrush; patients with chronic oral infections such as alveolitis, gingivitis, and caries should first receive treatment for their oral diseases. Maintaining oral hygiene will help prevent postoperative complications.

Taking antibiotic water

The main purpose is to keep the esophagus clean and ensure the anastomosis is sterile. The esophagus is the passage for eating and is easily contaminated by food and breeds bacteria. After esophagectomy, the healing of the anastomosis is very important. Once anastomotic leakage occurs, it will not only hinder the patient's nutritional intake but also cause chest infection, which is not conducive to recovery.

The commonly used antibiotic is streptomycin, which is prepared into a solution in a certain proportion and taken regularly as prescribed by the doctor.

Actively treat comorbidities

1. Patients with liver disease should undergo various liver function tests and improve their overall condition through various means to increase liver glycogen reserves;

2. Patients with high blood pressure should have their blood pressure lowered appropriately before surgery, and their blood pressure should be controlled within a certain range to avoid the risk of complications such as cerebrovascular accidents and heart failure due to anesthesia and surgical stress;

3. Patients with diabetes mellitus have poor tolerance to surgery, so blood sugar should be properly controlled before surgery, and water and electrolyte metabolism disorders should be corrected. Nutritional status should be improved. Since patients cannot eat for a period of time after surgery, problems with diet and infusion of diabetic patients may lead to worsening of the condition, and must be taken seriously.