One of the few centers in the country.
World’s First Thoraco-Lap Esophagectomy in a HIV positive
A cancer that arises in the foodpipe or gullet is called as esophageal cancer. GERD, smoking and heavy alcohol drinking are usually the causes of cancer in the esophagus. Risk increases with age and is more common and dangerous in men than in women. This is also the fastest growing cancer in several parts of the world, including India.
Understanding Thoraco-Lap Esophagectomy
Thoraco-Lap Esophagectomy is a minimally invasive procedure in which the affected portion of the esophagus is cut and removed. Cancers like squamous cell carcinoma of the esophagus (type of cancer that involves the squamous cells of the esophagus), have a high recurrence rate. In such cases, the whole esophagus needs to be removed. This prevents further spread of the cancer to the stomach and surrounding organs. The first esophagectomy performed completely via laparoscopy was in 1995 by DePaul.
How is Thoraco-Lap Esophagectomy Performed?
3 small holes in chest and 4 small holes in the abdomen allows the surgeon to access the esophagus and the stomach.
Trocars and laparoscopic instruments are inserted and access port is created.
Through the four small holes in the abdomen, the stomach tissue is stretched and folded to create a stomach tube.
Via the three small holes in the chest, the esophagus is freed from all its attachments.
Finally through a small nick in the neck, the entire esophagus and the newly created stomach tube are pulled out.
The affected portion of the esophagus is then cut off and the unaffected portions are finally joined together.
Surgical treatment of Esophageal cancer must be initiated as soon as the condition is identified and confirmed. So as to avoid spread of cancer to nearby organs. Simultaneously Chemo and Radiotherapy should also be started at the earliest.
Life after THORACO-LAP ESOPHAGECTOMY
Patient will be on feeding tube for 1-2 months after surgery, until the sutures dissolve and the operated area heals. Regular tube care is advised.
After about 2 months, initially liquid diet is started then gradually progressed to soft diet.
Eating smaller meals throughout the day is advised.
video: lap esophagectomy
Thoracolap Esophagetomy FAQ
Thoracolap Esophagetomy Specialists
Dr. J. S. Rajkumar
M.S., F.I.C.S., Dip. N.B. (SURG.), F.R.C.S. (ENG.), F.R.C.S. (EDIN.), F.R.C.S. (GLASGOW), F.R.C.S. (IRELAND), F.I.M.S., F.A.I.S., F.R.M.S. (LONDON), F.A.E. (GASTRO), F.A.C.G. (USA), F.I.C.A. (USA), F.I.A.G.E.S., Dip M.I.S. (FR.)
Dr. Prabhakaran Raju
Consultant Surgical Gastroenterolgy
M.B.B.S., M.S (GENERAL SURGERY), Mch(SGE)