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.