Esophageal cancer is the eighth most common cancer in the world today and depending on stage at diagnosis, the five year survival rate is between 13% and 18% according to research. Esophagectomy is a major surgical procedure associated with a significant risk of morbidity and mortality. Minimally invasive esophagectomy is becoming the preferred approach because of the potential to limit surgical trauma, reduce respiratory complications, and promote earlier functional recovery.
Because esophagectomy is the standard-of-care, I researched studies comparing open surgery to minimally invasive esophagectomy. According to studies, there isn’t much difference in the outcomes of MIE and open surgery.
However my experience as a cancer survivor (of a different cancer) and cancer coach is that cancer surgery depends on two main criteria:
When I read the above I think that is both obvious and sort of silly for me to say that. But let me explain. When I say the surgeon makes a real difference, I am referring to the experience of the surgeon. I encourage esoph. patients to meet with the surgeon to ask him or her about how many, what outcomes, etc.
When I say that the cancer patient makes a real difference what I mean is the age, physical condition, prehabilitation, etc. before he/she undergoes surgery.
Studies comparing open with MIE can’t account for the surgeon’s experience nor the patient’s preparation.
I am both a cancer survivor and cancer coach. I work with cancer patients to research and identify those centers and/or those surgeons who are at the top of their profession and may have better outcomes. I have reserched those evidence-based therapies that esophageal cancer need to improve their outcomes.
Have you been diagnosed with esophageal cancer? If so, what stage? What therapies are you considering? Scroll down the page, post a question or comment and I will reply to you ASAP.
Open esophagectomy for cancer is a major oncological procedure, associated with significant morbidity and mortality. Recently, thoracoscopic procedures have offered a potentially advantageous alternative because of less operative trauma compared with thoracotomy. The aim of this study was to utilize meta-analysis to compare outcomes of open esophagectomy with those of minimally invasive esophagectomy (MIE) and hybrid minimally invasive esophagectomy (HMIE).
“Use of a minimally invasive endoscopic procedure to remove superficial, early-stage esophageal cancer is as effective as surgery that removes and rebuilds the esophagus, according to a new study. The study examined national outcomes from endoscopic treatment and from esophagectomy, which is surgical removal of the esophagus…
Endoscopic therapy was found to offer long-term survival rates similar to those for esophagectomy, “Endoscopic resection in the esophagus is similar to how we remove polyps in the colon, although it is much more technically complex. Esophagectomy is a major surgical procedure that cuts out the entire esophagus, and pulls the stomach into the neck to create a new food tube.”