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ESOPHAGEAL RESECTION DR V JONKER Dept cardiothoracic Surgery Yunivesithi Ya Freistata
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PREOP EVALUATION Physiologic evaluation Radiological evaluation – contrast, endoscopy, CT, bronchoscopy EUS Thoracoscopy, Laparoscopy Lung functions Cardiac echo/ stress test
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TYPES OF RESECTION IVOR LEWIS ESOPHAGECTOMY INDICATIONS High grade dysplasia Carcinoma Caustic injury Not for upper 1/3 ca Laparotomy Thoracotomy McKeown Modification - ® Cervical incision
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(L) TRANSTHORACIC APPROACH RADICAL EN-BLOCK RESECTION
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THREE-FIELD NODAL DISSECTION
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Postoperative course –Ventilation –Diuresis –Mobilization –NG tube removal/ Jejunostomy feeding –Postop Barium Swallow- day 6 –Remove J-tube 4 weeks postop
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COMPLICATION MANAGEMENT –Anastomosis leak –Anastomotic stricture –Delayed gastric emptying –Reflux
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ORRINGER TRANSHIATAL ESPOHAGECTOMY ORRINGER TRANSHIATAL ESPOHAGECTOMY Orringer vs Ivor Lewis Orringer vs Ivor Lewis 3 Phases 3 Phases Abdominal Abdominal Mediastinal Mediastinal Cervical Cervical
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COLONIC INTERPOSITION Indications (L) Colon preferable Colon vs Stomach Complications
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JEJUNUM INTERPOSITION JEJUNUM INTERPOSITION Indications Children FREE INTESTINL TRANSFER FREE INTESTINL TRANSFER MINIMALLY INVASIVE ESOPHAGECTOMY MINIMALLY INVASIVE ESOPHAGECTOMY
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