Surgery

There are numerous techniques for surgical resection of oesophageal tumours. These are all associated with similar long term outcomes but some are best suited to particular sites of disease.

Ivor-Lewis Oesophagectomy

Trans-Hiatal Approach

This popular technique is particularly suited to distal oesophageal tumours. A laparatomy and cervical excision are performed and the oesophagus is mobilised from these two excisions. The entire oesophagus is removed, as well as a margin of stomach for gastro-oesophageal tumours. The remaining stomach is then passed through to the cervical oesophagus as a conduit and anastamosed.
Advantages:
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