Esophageal (esophageal) cancer, which ranks 6th among all cancers;
- Reflux complaints (burning and pain in the chest)
- Difficulty swallowing (dysphagia)
- weight loss
- swelling in the neck
- Anorexia
- Bleeding while gagging
- Cough
- May come with complaints.
The most important diagnostic method is endoscopic examination.
Treatment depends on many factors, especially the location and stage of the tumor and the physical condition of the patient.
In cases caught early, the most effective treatment method is surgery.
In some cases, combined treatments (radiotherapy-chemotherapy-surgery-endoscopic sharing-endoscopic stenting) can be applied.
The location of the tumor is also important in the selection of treatment.
Tumors in the lower 1/3 of the esophagus are treated more easily than the middle and upper lesions.
Laparoscopic (closed) and open surgery can be preferred.
The situation is different in middle and upper esophageal cancers. Since it is an ongoing organ in the abdomen, chest and neck region, it may be necessary to intervene in two or three separate areas.
Along with open surgery, laparoscopic-thoracoscopy-assisted surgeries can be applied.
A 64-year-old male patient was admitted with complaints of reflux, and a tumoral mass in the middle esophagus was detected in the endoscopy performed in the center. As a result of the examinations, it was determined that it was in the early stage. Surgery was decided as a result of meetings with oncology, radiation oncology and radiology.
Laparoscopy and thoracoscopy-assisted total esophagectomy – gastric pull-up operation was performed with the help of our thoracic surgeon.
With the new esophagus (from the stomach), nutrition and food harmony were arranged as usual 🙂
He was discharged on the 10th postoperative day.
His pathology was early stage squamous cell carcinoma (T2N0M0). Follow-up by oncology was recommended.
