{"entity":{"id":"oesophagectomy","kind":"term","name":"Oesophagectomy","aka":["esophagectomy","oesophagectomies","Ivor Lewis"],"tldr":"Surgery that removes most of the food pipe (oesophagus) and rebuilds it by pulling the stomach up into the chest.","summary":"The standard curative operation for oesophageal and junctional cancer, usually after chemoradiation (CROSS) or perioperative chemotherapy (FLOT). Approaches include Ivor Lewis (abdomen plus right chest), McKeown (three-field) and transhiatal; minimally invasive and robotic versions reduce pulmonary complications. It is one of the highest-risk cancer operations, with 2-5% mortality even in expert centres and lasting effects on eating, reflux and weight, which is why outcomes are better in centralised high-volume units and why active surveillance after complete response (SANO) is being tested as an alternative.","asOf":"2026-09-09","wikipedia":"https://en.wikipedia.org/wiki/Esophagectomy","links":[{"label":"Wikipedia","url":"https://en.wikipedia.org/wiki/Esophagectomy"}],"tags":[],"related":["centralisation","surgical-morbidity","dysphagia"],"cancers":["esophageal","gastric"],"sections":["surgery"],"technologies":[],"targets":[],"drugs":[],"companies":[],"institutions":[],"pathways":[],"terms":[],"trials":["cross","sano"],"people":[],"bottlenecks":[],"keyPapers":[],"journals":[],"dependsOn":[],"notes":[],"category":"Procedures"},"route":"/terms/oesophagectomy/","neighbours":{"term":[{"id":"centralisation","kind":"term","name":"Centralisation and high-volume centres","route":"/terms/centralisation/"},{"id":"dysphagia","kind":"term","name":"Dysphagia (difficulty swallowing)","route":"/terms/dysphagia/"},{"id":"feeding-tube","kind":"term","name":"Feeding tube (gastrostomy, PEG, jejunostomy)","route":"/terms/feeding-tube/"},{"id":"gej","kind":"term","name":"Gastro-oesophageal junction (GEJ)","route":"/terms/gej/"},{"id":"surgical-morbidity","kind":"term","name":"Surgical morbidity and postoperative complications","route":"/terms/surgical-morbidity/"}],"cancer":[{"id":"gastric","kind":"cancer","name":"Gastric & gastro-oesophageal junction cancer","route":"/cancers/gastric/"},{"id":"esophageal","kind":"cancer","name":"Oesophageal cancer","route":"/cancers/esophageal/"}],"section":[{"id":"surgery","kind":"section","name":"Surgery & Interventional","route":"/fronts/surgery/"}],"trial":[{"id":"cross","kind":"trial","name":"CROSS","route":"/trials/cross/"},{"id":"sano","kind":"trial","name":"SANO","route":"/trials/sano/"}]}}