Esophagectomy is a surgical procedure that removes part or most of the esophagus and reconstructs the food passage so swallowing can continue. It is most commonly performed for esophageal cancer and may also be considered for severe or non-cancerous conditions affecting the esophagus. Treatment planning depends on the location and extent of disease, overall health, and diagnostic results.
Why Is Esophagectomy Performed?
Esophagectomy may be recommended when a tumor is suitable for removal or severe esophageal damage cannot be treated with other approaches. For esophageal cancer, surgery may be combined with chemotherapy or radiation therapy depending on the cancer stage and individual treatment plan.
How Is Esophagectomy Performed?
During surgery, the surgeon removes the affected section of the esophagus and may remove nearby lymph nodes and part of the upper stomach. The stomach is commonly reshaped and brought up to connect with the remaining esophagus. In selected patients, part of the intestine may be used for reconstruction. The operation may be performed as open surgery or through minimally invasive techniques, including laparoscopic, thoracoscopic, or robotic-assisted approaches.