Oesophagectomy
Oesophagectomy is one of the most complex and demanding major oncological operations performed at Moolchand Hospital, one of the best cancer and thoracic surgery hospitals in Delhi. It involves the surgical resection of the esophagus — or a significant portion of it — combined with reconstruction of the food passage to restore swallowing. It is primarily performed for carcinoma of the esophagus (squamous cell carcinoma most commonly in the upper and middle third, adenocarcinoma in the lower third and gastroesophageal junction) and less commonly for severe Barrett's esophagus with high-grade dysplasia, end-stage benign esophageal disease (achalasia, corrosive stricture), or traumatic perforation with extensive necrosis.
The two most commonly performed oesophagectomy approaches are the Ivor Lewis oesophagectomy (a two-phase procedure combining abdominal and right thoracic phases — most commonly used for middle and lower third tumours) and the McKeown three-phase oesophagectomy (adding a cervical phase for upper third tumours), and the transhiatal oesophagectomy (performed entirely through the abdomen and neck without thoracotomy — suitable for lower third tumours in high surgical risk patients).
Minimally invasive oesophagectomy (MIO) — performing both the thoracic and abdominal phases laparoscopically and thoracoscopically — is increasingly performed at Moolchand Hospital, offering the same oncological adequacy as open surgery with significantly reduced pulmonary complications, blood loss, and hospital stay. Robotic-assisted minimally invasive oesophagectomy (RAMIO) provides additional precision for the intrathoracic anastomosis.
After esophageal resection, the stomach is most commonly used as the esophageal substitute — fashioned into a gastric tube (gastric pull-up) and positioned in the posterior mediastinum, with the anastomosis performed in the neck or chest. When the stomach is unsuitable, the left or right colon or a jejunal free flap is used as a conduit.
Pre-operative nutritional optimization, physiotherapy, smoking cessation, and neoadjuvant chemoradiation for appropriate stage tumours are essential components of the peri-operative programme at Moolchand Hospital. Post-operatively, our thoracic surgery, oncology, dietetics, and physiotherapy teams provide comprehensive recovery support.
Our team of globally acclaimed super specialists has pioneered several oesophagectomy surgeries.
Dr. Majid Ahmed Talikoti
1,250
Real patients...Real stories
Patients and their families from more than 50 countries around the world have benefited from our half-century old tradition of excellence in healthcare. Our excellence has led to Moolchand being a preferred choice for many VIP’s including international diplomats and business leaders. Here is what some of our patients have to say about their Moolchand experience.
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Senior Consultant, Moolchand Cancer Institute, Moolchand General and Advanced Laparoscopic Surgery Institute, Oncology
