Open Oesophagectomy
During this operation, lymph nodes near the esophagus and stomach may also be extracted. The esophagus is a hollow muscular tube that moves food from the mouth to the stomach during digestion. When any portion of the esophagus is removed, a link must be rebuilt.
Open esophagectomy does not apply to a particular type of treatment. It can be done using a variety of different methods. The procedure used depends on both your needs and the expertise of the surgeon. Open esophagectomy can also be part of the treatment of esophageal cancer.
The procedure for Oesopphagectomy Surgery
The operation is performed in a hospital or clinic with a general or thoracic surgeon.
There are three forms of open esophagectomy that a surgeon can perform:
Transthoracic Oesophagectomy (TTE)
The TTE is done through the chest. The portion of the cancer esophagus and the upper part of the stomach are cut. The remaining parts of the esophagus and stomach are then connected to the digestive tract. In certain cases, part of the colon is used to replace the portion of the esophagus removed. Lymph nodes in the chest or neck can also be removed if they are cancerous.
Transthoracic esophagectomy (TTE) is used to:
Cancer affecting the upper two-thirds of the esophagus
Displasia in a disorder called Barrett’s esophagus
Transhyatal esophagectomy (THE)
In esophagectomy (THE), the esophagus is removed without opening the chest. Instead, an incision is made between the bottom of the breastbone and the belly button. A further small incision is made on the left side of the neck. The surgeon removes the esophagus, pushes the stomach up to the region in the neck where the esophagus has been removed and attaches the remaining part of the stomach to the neck. Lymph nodes in the chest or neck can also be removed if they are cancerous.
Transhiatal esophagectomy (THE) is used for:
Remove oesophageal cancer
Remove the esophagus after other methods have been used to treat esophageal cancer.
Fix problems with the nervous system
Repair of chronic gastroesophageal reflux
Repair of a hole or damage caused by a caustic agent such as lye
En bloc esophagectomy
En bloc esophagectomy is the most radical of all esophagectomy procedures. Your doctor will remove the esophagus, a part of the stomach, and all of the lymph nodes in the chest and abdomen during this operation. The surgery is conducted through the spine, shoulders, and abdomen. Your doctor will reshape the rest of your stomach and put it into your chest to replace your esophagus.
How to Prepare for the Oesopphagectomy Surgery
Your doctor will do the following before the surgery:
Give you a full physical exam.
Be sure that any medical conditions you may have, such as diabetes, high blood pressure, and heart or lung problems, are under control.
Give you diet advice
Review what you can expect during and after surgery, and what risks and complications can result from surgery.
Check what drug you need to take or avoid taking before surgery
Offer advice on how to stop smoking at least a few weeks before your surgery.
The Day of Oesopphagectomy Surgery
Do not eat or drink something after midnight the night before your surgery. Take any drug that your doctor has told you to take, with just a small amount of water.
The surgery is done under general anesthesia. This means you’re going to be unconscious during surgery. Your anesthesiologist can ask you about your medical history to make sure you haven’t had an anesthesia reaction in the past.
Life After an Open Oesophagectomy
Open esophagectomy can have positive outcomes and can lead to long-term quality of life. Death rates after surgery or mortality rates have declined dramatically over the last two decades.
Return to normal
Typically, you can return to normal activity about three weeks after surgery. After a month, you might be back on your daily diet. However, the decreased size of your stomach is going to limit how much you can consume. Therefore, you’re going to need to eat smaller quantities.
What is the Oesopphagectomy Surgery success rate in Bangalore?
The survival rates for transthoracic or esophagectomy were 31.2% and 27.8% for 5 years, and 21.3% and 16.6% for 10 years, respectively, and the median survival time for transthoracic or esophagectomy was 20.5 months
