Minimally Invasive Modified McKeown Esophagectomy

Ealaf Shemmeri; Jon O Wee

doi:10.1016/j.soc.2023.12.020

Minimally Invasive Modified McKeown Esophagectomy

Surg Oncol Clin N Am. 2024 Jul;33(3):509-517. doi: 10.1016/j.soc.2023.12.020. Epub 2024 Jan 25.

Authors

Ealaf Shemmeri¹, Jon O Wee²

Affiliations

¹ Division of Thoracic Surgery, Brigham and Women's Hospital, 75 Francis Street, Boston, MA 02115, USA. Electronic address: eshemmeri@bwh.harvard.edu.
² Esophageal Surgery, Division of Thoracic Surgery, Brigham and Women's Hospital, Boston, MA, USA; Harvard Medical School.

PMID: 38789193
DOI: 10.1016/j.soc.2023.12.020

Abstract

McKeown esophagectomy is a transthoracic esophagectomy with a cervical anastomosis that is an established mainstay for the management of benign and malignant esophageal pathology. It has gone through multiple modifications. The most current version utilizes robotic or minimally invasive ports through both the right chest and abdominal portions. There is decreased pain and hospital length of stay compared to the open technique. However, anastomotic leak and recurrent laryngeal nerve injury continue to occur. Advancements in management of complications has decreased mortality, making this surgical approach a relevant option for esophageal pathologies.

Keywords: Anastomotic leak; Esophageal cancer; McKeown esophagectomy; Minimally invasive; Robotic McKeown.

Publication types

Review

MeSH terms

Esophageal Neoplasms* / surgery
Esophagectomy* / methods
Humans
Minimally Invasive Surgical Procedures* / methods
Robotic Surgical Procedures / methods