Procedure Type
SurgicalProcedure Duration
4-6 HoursHospital Stay (Days)
8-9 DaysRadical esophagectomy is a surgical procedure performed to treat esophageal cancer or other severe esophageal diseases that cannot be managed with less invasive treatments. It involves the complete or partial removal of the esophagus, along with surrounding lymph nodes and, in some cases, adjacent tissues, to eliminate cancerous growths and prevent their spread. This complex surgery is a cornerstone in the management of esophageal cancer, often offering the best chance for a cure or significant disease control.
This procedure is primarily indicated for patients with esophageal cancer, especially when the disease is localized and has not metastasized extensively. It may also be recommended for certain benign but severe esophageal conditions, such as strictures or achalasia, when other treatments fail. The decision to proceed with radical esophagectomy depends on the tumor's stage, the patient’s overall health, and the potential to achieve complete removal of the affected tissues.
Before undergoing radical esophagectomy, patients must undergo a comprehensive evaluation to assess their fitness for surgery and ensure the disease is localized. Diagnostic imaging, such as CT scans, PET scans, and endoscopic ultrasound, is often used to determine the extent of the disease. Nutritional support and pulmonary rehabilitation may be provided preoperatively to optimize the patient’s condition. A thorough discussion with the medical team helps the patient understand the risks, benefits, and potential outcomes of the procedure.
Chief - Breast Surgery & Sr. Consultant : Surgical Oncology
Chief - Head & Neck Surgery
Radical esophagectomy can be performed using various techniques, including open surgery, minimally invasive approaches, or robotic-assisted procedures. The choice of technique depends on the surgeon’s expertise and the patient’s specific condition. The procedure typically involves removing the diseased esophagus, reconstructing the digestive tract using the stomach or part of the intestine, and ensuring proper lymph node clearance. Advanced surgical methods aim to minimize complications while achieving optimal disease control.
Postoperative care following radical esophagectomy is critical to ensure a successful recovery. Patients are typically monitored in an intensive care unit (ICU) for the first few days. Nutritional support may be provided via a feeding tube to allow the digestive tract to heal. Pain management, respiratory therapy, and gradual reintroduction of oral feeding are integral to recovery. Regular follow-up is essential to monitor for complications and assess the success of the surgery.
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