The Three Types of Esophagectomy
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- Опубліковано 28 чер 2024
- This video briefly covers the three main types of esophagectomies:
1. 3-hole/McKeown (neck, chest, and abdomen incisions)
2. Transhiatal (neck and abdomen incisions)
3. Ivor-Lewis (chest and abdomen incisions)
As well as some anatomic considerations for esophageal surgery (the left-right-left rule, how distal a tumor has to be to qualify for resection, and the favorite quiz question "what is the primary blood supply to the gastric conduit?").
These videos are for educational purposes only, do not use to diagnose or treat any disease.
Thank you for your introduction! Very complete and easy to learn.
Very clear and informative. EZ to understand. Thank you.
Great video. a family member will be undergoing chemo to reduce tumor size and then an esophagectomy. Good video to understand what is going to happen.
Thank you for this video. You did a really good job explaining the procedures and process. You made it easy to understand. Thanks. God bless.
That was brief and well explained
Great video, really helpful. Thanks
comes in handy and really clear explanation:) big tks
Thanks a lot
this was fantastic
Thanks it's really helpful 🙏🏼
Thank you for this video, i love you, man. XOXO from Brazil.
Fantastic explation. Really interesting to learn about the location of the tumor. Mine was around 28 cm away from my teeth so luckily I was fine for surgery. They did a 9 hour Ivor Lewis procedure cutting me open at the back leaving me with a large scar and then 5 small cuts around my chest and abdomen. My surgeon was an absolute magician as I also have a shunt for hydracephalous. He just flippantly said it wasn't a problem he just pushed it out of the way. After around 9 months I am eating pretty much normally - just smaller amounts. I need to avoid fatty, spicy food, or tough meat. I am also on tablets for reflux which guards against reflux as I don't have a sphincter so pretty much reflux has a great time flowing up and down which can be a pain - literally as it feels like heartburn in the throat rather than the chest.
Thank you for sharing your experience! I'm glad you are doing well.
For a distill tumor (close to the GE junction) is there added benefit in keeping more of the esophagus post op and choosing to to a Ivir Lewis instead of a T.H.?
amazing
Can adenocarcinoma in T1 b layer be removed with an endoscopic option. I had a 8 to 10 millimeter nodule removed from the junction and the margins were not healthy. Endoscopic ultrasound seems to show it doesn’t extend beyond the T1 b layer. Is another endoscopic resection a possible option. The team scheduled me with a thoracic surgeon before the ultrasound and I’m thinking I should actually see the doctor who did the initial resection again. Any input? Not medical advise just in general circumstances.
Not bad at all , wish it was up to the last stage.
This is all great, unless you don't have cancer, but have multiple strictures dotted along the length of the Oesophagus... then what ??
king