MINIMAL ACCESS SURGERY IN CARCINOMA OESOPHAGUS - A CASE REPORT

ABSTRACT

Surgery plays an important role in curative treatment of oesophageal carcinoma. Ivor-Lewis procedure modified by McKeown is the procedure of choice, which is an open approach. Here, we present our experience with a modified three-stage procedure i.e. right thoracoscopy, mini-laparotomy and cervical anastomosis, which shows that oncological procedures can be performed by minimally invasive procedures; this helps in reducing complications associated with open technique, especially pulmonary, without any oncological disadvantage for the patient. Thus, we propose that a minimally invasive approach is a significantly better technique for tumour resection, combined with neo adjuvant chemotherapy, in reducing hospital stay and improved quality of life.