esophagectomy
Pronunciation: ee-sof-ah-JEK-toe-mee
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 the removal of part or all of the esophagus, most commonly performed for esophageal cancer but also indicated for severe benign conditions such as end-stage achalasia or caustic injury. The procedure can be performed through various approaches including transthoracic (Ivor Lewis), transhiatal, or minimally invasive techniques. Reconstruction typically involves creating a gastric conduit or using intestinal interposition to restore continuity between the remaining esophagus and stomach. The surgery carries significant morbidity and mortality risks, including anastomotic leak, respiratory complications, and cardiac events. Postoperative care requires intensive monitoring and specialized nutrition management.
Usage
Usage note: Specify surgical approach (transthoracic, transhiatal, minimally invasive) when documenting.
In Context
- "Minimally invasive esophagectomy was performed for adenocarcinoma of the distal esophagus." — operative report
- "The patient developed anastomotic stricture six months after esophagectomy." — follow-up clinic note