Oesophageal Cancer – Treatment Multidisciplinary Approach Surgery Radiotherapy Chemotherapy Stent
Oesophageal Cancer - Surgery A) Ivor-Lewis approach resulting in an anastomosis in the chest B) Three-field oesophagectomy with anastomosis in the neck, C) Transhiatal approach, avoids a thoracotomy.
Surgery cont. Other approaches –Endoscopic mucosal resection –Limited resection for early disease –Laparoscopic oesophagectomy AIM : R0 resection
However …. Irrespective of histology 5 year OS with surgery alone 5 – 20%