Minimally Invasive Three Stage Esophagectomy for squamous cell carcinoma esophagus; Our Technique with reference to a case report

Aun Jamal; Jibran Mohsin; Faizan Ullah; Abdul Wahid Anwer; Osama Shakeel; Ali Raza Khan; Shahid Khattak; Aamir Ali Syed; Almas Iqbal

doi:10.5455/IJMRCR.Three-Stage-Esophagectomy

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Case Report
Online Published: 25 Feb 2021

Int J Med Rev Case Rep. 2021; 5(1): 62-68

doi: 10.5455/IJMRCR.Three-Stage-Esophagectomy

Minimally Invasive Three Stage Esophagectomy for squamous cell carcinoma esophagus; Our Technique with reference to a case report

Aun Jamal, Jibran Mohsin, Faizan Ullah, Abdul Wahid Anwer, Osama Shakeel, Ali Raza Khan, Shahid Khattak, Aamir Ali Syed, Almas Iqbal.

Abstract
Introduction: Esophageal cancer ranks 8th among the most common malignancies. Management of esophageal cancer is complex and involves multidisciplinary team approach. Esophagectomy is a complex procedure with significant morbidity. The surgical approach to the oesophagus depends on a lot of factors like the anatomical location of the disease in the oesophagus, histopathology, desired lymphadenectomy and surgeon preferences. Historically the approach to esophageal resection was via open surgery. Minimally invasive surgery has revolutionized the management of esophageal surgery. The concept of Minimally invasive esophagectomy (MIE) was introduced to lessen the morbidity associated with open surgery. Less surgical trauma and hence less injury and inflammation are thought to play a vital part in reducing surgical stress and associated morbidity. Minimally invasive three-stage esophagectomy is carried out for tumours of the upper and middle oesophagus, hence mostly for squamous cell carcinomas as they predominate in this region.
Methods: We report a case of carcinoma oesophagus that was managed by minimally invasive three-stage esophagectomy. At our institute, Shaukat Khanum Memorial Cancer Hospital and Research Center (SKMH&RC) we routinely perform minimally invasive esophagectomy. We perform the thoracic part first in the left lateral position via the Video Assisted Thoracoscopic Surgery (VATS) approach, then the patient is placed in a modified Lloyd Davis position and the abdominal part is performed via laparoscopic approach and simultaneously neck is dissected and later anastomosis is fashioned in the neck.
Results: The patient underwent the procedure safely and was discharged on day five after surgery. It was an adequate oncological resection.
Conclusion: Minimally invasive three-stage esophagectomy is a safe procedure with less morbidity and equal oncological outcomes in high volume centres.

Key words: Esophageal cancer, Esophagectomy, Minimally invasive esophagectomy, Video assisted thoracoscopic surgery, Laparoscopy

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How to Cite this Article

Pubmed Style

Jamal A, Mohsin J, Ullah F, Anwer AW, Shakeel O, Khan AR, Khattak S, Syed AA, Iqbal A. Minimally Invasive Three Stage Esophagectomy for squamous cell carcinoma esophagus; Our Technique with reference to a case report. Int J Med Rev Case Rep. 2021; 5(1): 62-68. doi:10.5455/IJMRCR.Three-Stage-Esophagectomy

Web Style

Jamal A, Mohsin J, Ullah F, Anwer AW, Shakeel O, Khan AR, Khattak S, Syed AA, Iqbal A. Minimally Invasive Three Stage Esophagectomy for squamous cell carcinoma esophagus; Our Technique with reference to a case report. https://www.mdpub.net/?mno=20896 [Access: April 02, 2025]. doi:10.5455/IJMRCR.Three-Stage-Esophagectomy

AMA (American Medical Association) Style

Jamal A, Mohsin J, Ullah F, Anwer AW, Shakeel O, Khan AR, Khattak S, Syed AA, Iqbal A. Minimally Invasive Three Stage Esophagectomy for squamous cell carcinoma esophagus; Our Technique with reference to a case report. Int J Med Rev Case Rep. 2021; 5(1): 62-68. doi:10.5455/IJMRCR.Three-Stage-Esophagectomy

Vancouver/ICMJE Style

Jamal A, Mohsin J, Ullah F, Anwer AW, Shakeel O, Khan AR, Khattak S, Syed AA, Iqbal A. Minimally Invasive Three Stage Esophagectomy for squamous cell carcinoma esophagus; Our Technique with reference to a case report. Int J Med Rev Case Rep. (2021), [cited April 02, 2025]; 5(1): 62-68. doi:10.5455/IJMRCR.Three-Stage-Esophagectomy

Harvard Style

Jamal, A., Mohsin, . J., Ullah, . F., Anwer, . A. W., Shakeel, . O., Khan, . A. R., Khattak, . S., Syed, . A. A. & Iqbal, . A. (2021) Minimally Invasive Three Stage Esophagectomy for squamous cell carcinoma esophagus; Our Technique with reference to a case report. Int J Med Rev Case Rep, 5 (1), 62-68. doi:10.5455/IJMRCR.Three-Stage-Esophagectomy

Turabian Style

Jamal, Aun, Jibran Mohsin, Faizan Ullah, Abdul Wahid Anwer, Osama Shakeel, Ali Raza Khan, Shahid Khattak, Aamir Ali Syed, and Almas Iqbal. 2021. Minimally Invasive Three Stage Esophagectomy for squamous cell carcinoma esophagus; Our Technique with reference to a case report. International Journal of Medical Reviews and Case Reports, 5 (1), 62-68. doi:10.5455/IJMRCR.Three-Stage-Esophagectomy

Chicago Style

Jamal, Aun, Jibran Mohsin, Faizan Ullah, Abdul Wahid Anwer, Osama Shakeel, Ali Raza Khan, Shahid Khattak, Aamir Ali Syed, and Almas Iqbal. "Minimally Invasive Three Stage Esophagectomy for squamous cell carcinoma esophagus; Our Technique with reference to a case report." International Journal of Medical Reviews and Case Reports 5 (2021), 62-68. doi:10.5455/IJMRCR.Three-Stage-Esophagectomy

MLA (The Modern Language Association) Style

Jamal, Aun, Jibran Mohsin, Faizan Ullah, Abdul Wahid Anwer, Osama Shakeel, Ali Raza Khan, Shahid Khattak, Aamir Ali Syed, and Almas Iqbal. "Minimally Invasive Three Stage Esophagectomy for squamous cell carcinoma esophagus; Our Technique with reference to a case report." International Journal of Medical Reviews and Case Reports 5.1 (2021), 62-68. Print. doi:10.5455/IJMRCR.Three-Stage-Esophagectomy

APA (American Psychological Association) Style

Jamal, A., Mohsin, . J., Ullah, . F., Anwer, . A. W., Shakeel, . O., Khan, . A. R., Khattak, . S., Syed, . A. A. & Iqbal, . A. (2021) Minimally Invasive Three Stage Esophagectomy for squamous cell carcinoma esophagus; Our Technique with reference to a case report. International Journal of Medical Reviews and Case Reports, 5 (1), 62-68. doi:10.5455/IJMRCR.Three-Stage-Esophagectomy

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