Esophagectomy with stomach Replacement open/MIS 

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Esophagectomy with stomach replacement is a surgical procedure to remove all or part of the esophagus and reconstruct it using the stomach. This procedure is often performed to treat esophageal cancer, severe esophageal disorders, or damage caused by chronic acid reflux.  our experienced thoracic surgeons utilize both open and minimally invasive techniques, including thoracoscopic and laparoscopic approaches, to provide the best possible outcomes for our patients.

Indications for Esophagectomy

Esophagectomy with stomach replacement is typically indicated for:

• Esophageal Cancer: Removal of cancerous tumors and affected tissues.

• Barrett’s Esophagus with Dysplasia: Preventing progression to esophageal cancer.

• Achalasia: Severe cases unresponsive to other treatments.

• Esophageal Strictures: Severe or recurrent narrowing of the esophagus.

• Esophageal Perforation: Repair of severe damage or rupture.

Types of Esophagectomy Procedures

we offer both open and minimally invasive esophagectomy procedures, tailored to the individual needs of our patients.

1. Open Esophagectomy
This traditional approach involves a larger incision to access the esophagus and perform the surgery. It is typically used in more complex cases or when extensive reconstruction is needed.

2. Minimally Invasive Esophagectomy (MIS)
Minimally invasive esophagectomy includes thoracoscopic and laparoscopic techniques, which involve smaller incisions and the use of specialized instruments and cameras to perform the surgery. Benefits of MIS include reduced pain, shorter hospital stay, and faster recovery.

Procedure Details

The esophagectomy with stomach replacement involves several key steps:

1. Anesthesia: The patient is placed under general anesthesia to ensure comfort and immobility during the procedure.

2. Esophagus Removal: The surgeon removes the diseased portion of the esophagus through either an open incision or minimally invasive techniques.

3. Stomach Mobilization: The stomach is prepared and mobilized to create a new esophageal conduit.

4. Reconstruction: The stomach is pulled up into the chest or neck and connected to the remaining esophagus or throat to restore continuity of the digestive tract.

5. Postoperative Care: The patient is closely monitored in the recovery area and receives detailed post-procedure care instructions.

Benefits of Minimally Invasive Techniques

Minimally invasive esophagectomy (thoracoscopic and laparoscopic) offers several advantages:

• Reduced Pain: Smaller incisions result in less postoperative pain.

• Faster Recovery: Patients typically experience a quicker return to normal activities.

• Shorter Hospital Stay: Reduced hospitalization time compared to open surgery.

• Lower Risk of Complications: Decreased risk of infection and other complications.​