Oesophageal Cancer Resection

Otherwise known as an Oesophagectomy: a surgical procedure used to treat cancer of the oesophagus; our series of patients show superior results using the technique of two-field lymph node removal.

Statistics:

Surgery Cure Rate (approximation)
Standard Surgery 25%
Combination of surgery and chemotherapy 35%
Combination of surgery, chemotherapy and lymphadenectomy (our approach) 45%

Minimally Invasive Oesophagectomy:

Some patients are suitable for abdominal or thoracic operation by keyhole with a view to early recovery.

Procedure

The standard procedure removes drawing lymph nodes and resects the tumour with a “margin” of clearance to five best achievable results. It is a large operation and is best managed in ICU for a few days following.

Ancillary

Patients are investigated fully using best modalities to ensure appropriate recommendations. Endoscopic ultrasound, PET scanning, CT scanning, and laparoscopy / bronchoscopy are utilised before surgery.

Chemotherapy / Radiotherapy

Most patients are offered “neoadjuvant” therapy treatment to downstage tumour with a view to more curative surgery. Combination therapy is established as best practice providing patient suitability.

Enhanced anaesthesia / analgesia / pain management

Recent adoption of newest techniques to leave small tubes in the abdomen has been highly effective in delivery of pain medication. Similar approaches to the thoracic wound have had equally effective results.

For more information see http://cancerhelp.cancerresearchuk.org/type/oesophageal-cancer/

Advertisements

Leave a Reply

Fill in your details below or click an icon to log in:

WordPress.com Logo

You are commenting using your WordPress.com account. Log Out / Change )

Twitter picture

You are commenting using your Twitter account. Log Out / Change )

Facebook photo

You are commenting using your Facebook account. Log Out / Change )

Google+ photo

You are commenting using your Google+ account. Log Out / Change )

Connecting to %s