Esophagectomy

Abstract

The incidence of esophageal adenocarcinoma continues to increase, and survival remains poor in comparison to other stage-matched malignancies. Early detection and aggressive intervention are demonstrated to provide optimal results for patients who have early esophageal cancer or Barrett's esophagus with high-grade dysplasia [1]. Mortality statistics for esophageal resection in institutions with low volume have led to comparisons showing significantly improved mortality in institutions with high volume [2]. Morbidity, however, remains high at most centers and has provided the impetus for adopting a minimally invasive surgical (MIS) approach. Development of laparoscopic and thoracoscopic techniques for fundoplication, giant paraesophageal hernia repair, and esophageal myotomy and pulmonary lobectomy have given surgeons the tools necessary for MIS esophageal resection. © Springer-Verlag London Limited 2010.