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Surgery that removes most of the food pipe (oesophagus) and rebuilds it by pulling the stomach up into the chest.
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.
Shares SANO, CROSS, Oesophageal cancer.
Shares SANO, CROSS, Oesophageal cancer.
Shares SANO, CROSS, Oesophageal cancer.
Shares Gastro-oesophageal junction (GEJ), Oesophageal cancer, Gastric & gastro-oesophageal junction cancer.
Shares Gastro-oesophageal junction (GEJ), Oesophageal cancer, Gastric & gastro-oesophageal junction cancer.
Shares Feeding tube (gastrostomy, PEG, jejunostomy), Dysphagia (difficulty swallowing).
Shares CROSS, Oesophageal cancer.
Shares Feeding tube (gastrostomy, PEG, jejunostomy), Oesophageal cancer, Gastric & gastro-oesophageal junction cancer.