MIE (Minimally Invasive Esophagectomy) open esophagectomy కంటే faster recovery, fewer pulmonary complications. ఈ technique పైన నా published research ఉంది. MIE (Minimally Invasive Esophagectomy) gives faster recovery and fewer pulmonary complications than open esophagectomy. I have published research on this technique.
Esophagectomy (food pipe removal and reconstruction) surgical oncology లో most complex procedures లో ఒకటి. Chest మరియు abdomen రెండూ involve అవుతాయి. Specialist training అవసరం.
నేను Journal of Minimal Access Surgery (2021) లో MIE పైన publish చేశాను. Charité Berlin లో advanced training లో MIE technique extensively practice చేశాను. Laparoscopic abdominal phase + thoracoscopic chest phase combination better recovery ఇస్తుంది.
Important point: esophageal cancer కి surgery alone sufficient కాదు. CROSS trial (multimodal chemoradiation before surgery) standard of care establish చేసింది. నేను Tumor Board లో neoadjuvant chemoradiation plan తో surgery combine చేస్తాను.
Esophagectomy (food pipe removal and reconstruction) is one of the most complex procedures in surgical oncology. It involves both chest and abdomen and requires specialist training.
I published on MIE in the Journal of Minimal Access Surgery (2021). During my advanced training at Charité Berlin, I practised the MIE technique extensively. The combination of laparoscopic abdominal phase plus thoracoscopic chest phase gives better recovery outcomes.
Important point: surgery alone is not sufficient for oesophageal cancer. The CROSS trial established multimodal chemoradiation before surgery as the standard of care. I combine neoadjuvant chemoradiation with surgery, planned at the Tumor Board.
Laparoscopic abdominal phase combined with thoracoscopic chest phase. Equivalent oncological outcomes to open esophagectomy. Fewer pulmonary complications, faster recovery.
For cases where MIE is not feasible. Two-field or three-field approach depending on tumour location and lymph node involvement.