Surgical Considerations in the Cancer Patient

There are special considerations when planning operative procedures on cancer patients beyond the normal planning done for the same operation on a nononcologic patient (Table 4.4).

TABLE 4.4. Special considerations in the cancer patient.

Oncologic factors

Potential associated problems

Tumor-specific factors:


Head and neck/mediastinal Cerebral tumors/brain metastasis Paraneoplastic syndromes

Cancer factors:


Hypercoagulability Bone metastasis

Treatment-specific factors:



Radiation therapy Tamoxifen

Obstruction and aspiration risk; gastrointestinal bleeding; bowel perforation

Reduced oral intake; superior vena cava obstruction; airway compromise; difficulty with ventilation or intubation

Decreased mental status; syndrome of inappropriate secretion of antidiuretic hormone; increased intracerebral pressures

Syndrome of inappropriate secretion of antidiuretic hormone; hypercalcemia

Increased infection; fluid and electrolyte management; wound healing

Venous thrombosis; superior vena cava syndrome; pulmonary embolism

Hypercalcemia; increased fracture risk; potential for cord compression; potential for difficulty with intubation

Gastritis and gastrointestinal bleeding; diabetes; adrenal insufficiency; difficulties with wound healing

Neutropenia and anemia; pulmonary fibrosis; cardiac dysfunction; stomatitis; alteration in mucosal integrity of the gastrointestinal tract; constipation; bowel perforation; nausea; vomiting; diarrhea; hypercoagulability Pulmonary fibrosis; difficulty with wound healing Hypercoagulability

These considerations include cancer syndromes affecting nutrition, debilitated performance status, hypercoagulability, paraneoplastic syndromes, tumor-specific effects, and effects of chemotherapy or radiation therapy.

10 Ways To Fight Off Cancer

10 Ways To Fight Off Cancer

Learning About 10 Ways Fight Off Cancer Can Have Amazing Benefits For Your Life The Best Tips On How To Keep This Killer At Bay Discovering that you or a loved one has cancer can be utterly terrifying. All the same, once you comprehend the causes of cancer and learn how to reverse those causes, you or your loved one may have more than a fighting chance of beating out cancer.

Get My Free Ebook

Post a comment