esophagectomy
Surgical removal of part or all of the esophagus, typically performed for cancer or severe benign disease.
Full Definition
Esophagectomy is a major surgical procedure involving partial or complete removal of the esophagus, most commonly performed for esophageal cancer but also indicated for severe benign conditions like end-stage achalasia or caustic injury. Surgical approaches include transhiatal (abdominal and cervical incisions), transthoracic (Ivor Lewis), or three-field (thoracic, abdominal, and cervical). The procedure requires reconstruction of the digestive tract, typically using stomach, colon, or jejunum as a conduit. Due to the extensive nature of the operation and involvement of multiple body cavities, esophagectomy carries significant morbidity and requires careful perioperative management.
Usage
Usage note: Specify surgical approach (transhiatal, transthoracic, three-field) when documenting.
In Context
- "The patient underwent transthoracic esophagectomy with gastric pull-up reconstruction." — Operative report