Advertisement

What are the different ways to perform an esophagectomy?

Lyall A. Gorenstein, MD
Thoracic Surgery (Cardiothoracic Vascular)
In all esophagectomy procedures, the surgeon makes an incision in the abdomen, separates the esophagus from the stomach, and utilizes a portion of the stomach to fashion a replacement esophagus. The remaining portion of the stomach retains its normal function. Additional incisions are made in the chest and/or neck, depending upon the portion of the esophagus that is diseased, as well as the patient's anatomy:
 
  • Trans-hiatal esophagectomy (THE) involves an incision in the abdomen as well as the neck. THE is generally performed for early-stage cancers, and is routinely done minimally invasively.
  • Ivor Lewis esophagectomy (also known as trans-thoracic esophagectomy, or TT) involves an incision in the abdomen as well as the chest. This procedure is employed when the tumor or cancerous tissues are located in the upper part of the esophagus.
  • A three-incision option involves access to the abdomen, the chest, and the neck.

Continue Learning about Surgical Procedures

What You Need to Know About Anesthesia
What You Need to Know About Anesthesia
If you’re planning to undergo surgery or a medical procedure in the near future, you probably have questions. People often wonder if their procedure w...
Read More
What are the symptoms of infection after a surgical procedure?
Ross Rudolph, MDRoss Rudolph, MD
Following a surgical procedure, it’s important to be aware of any signs or symptoms of infection. Th...
More Answers
What is radiosurgery?
Riverside Cancer Care CenterRiverside Cancer Care Center
Radiosurgery is a comparatively new and expanding field which offers “knifeless surgery” for some pa...
More Answers
Is Disk Replacement Safe?
Is Disk Replacement Safe?

Important: This content reflects information from various individuals and organizations and may offer alternative or opposing points of view. It should not be used for medical advice, diagnosis or treatment. As always, you should consult with your healthcare provider about your specific health needs.