Minimally Invasive Esophagectomy for Esophageal Cancer | Exon Publications

Gastrointestinal Cancers Open access book cover

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Published: Sep 30, 2022

DOI: https://doi.org/10.36255/exon-publications-gastrointestinal-cancers-esophagectomy

Keywords:

Barrett’s esophagus, esophageal adenocarcinoma, McKeown esophagectomy, minimally invasive esophagectomy, squamous cell carcinoma

Livia Palmieri, MD

Department of General Surgery and Surgical Specialties “Paride Stefanini”, Sapienza University of Rome, Viale del Policlinico 155, 00161, Rome, Italy

Tiziano De Giacomo, MD

Department of General Surgery and Surgical Specialties “Paride Stefanini”, Sapienza University of Rome, Viale del Policlinico 155, 00161, Rome, Italy

Silvia Quaresima, MD

Department of General Surgery and Surgical Specialties “Paride Stefanini”, Sapienza University of Rome, Viale del Policlinico 155, 00161, Rome, Italy

Andrea Balla, MD, PHD

General and Minimally Invasive Surgery Unit, Hospital “San Paolo”, Largo Donatori del Sangue 1, 00053, Civitavecchia, Rome, Italy

Daniele Diso, MD

Department of General Surgery and Surgical Specialties “Paride Stefanini”, Sapienza University of Rome, Viale del Policlinico 155, 00161, Rome, Italy

Emilia Mottola, MD

Department of General Surgery and Surgical Specialties “Paride Stefanini”, Sapienza University of Rome, Viale del Policlinico 155, 00161, Rome, Italy

Franco Ruberto, MD

Department of General Surgery and Surgical Specialties “Paride Stefanini”, Sapienza University of Rome, Viale del Policlinico 155, 00161, Rome, Italy

Alessandro M. Paganini, MD, PHD, FACS

Department of General Surgery and Surgical Specialties “Paride Stefanini”, Sapienza University of Rome, Viale del Policlinico 155, 00161, Rome, Italy

ABSTRACT

Esophageal cancer is currently the eighth most common cancer, and the sixth leading cause of death from cancer in the world due to its highly aggressive nature. Better prognosis can be achieved with early diagnosis in early stages of the disease. The increasing incidence rate and the distribution of esophageal cancer varies with tumor type location and with geographical area. Multiple factors like ethnicity, genetic factors, and lifestyle play a role. Currently, Barrett’s esophagus is still the only known precursor. Due to its natural history, esophageal cancer is commonly diagnosed in more advanced stages. In tumors confined to the mucosa, local endoscopic treatment is considered curative whereas when the tumor invades the submucosa, surgical esophagectomy is the current standard treatment. In case of locally advanced disease, neoadjuvant chemo or chemo-radio therapy is now considered the gold standard treatment. The advent of minimally invasive surgical techniques has reduced morbidity and mortality of esophagectomy without compromising the oncological outcomes. In the chapter, the McKeown mini-invasive esophagectomy technique is described.

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Book

Gastrointestinal Cancers

Section

Chapter 9

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