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.
|Surgery||Cure Rate (approximation)|
|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.
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.
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/