Esophagectomy: Approaches and Surgical Techniques

Esophagectomy is an operation in which a segment of the esophagus is resected and replaced with suitable gastrointestinal conduit to re-establish continuity. This chapter provides an overview of the anatomy, indications, techniques, and common complications of esophagectomy. The surgical approach for esophagectomy is individualized based on a combination of factors including the patient’s indication for surgery, anatomic pathology, and surgeon preference. There are a number of surgical techniques for creating an esophagogastric anastomosis, the choice of which is largely based on surgeon preference and experience. Anastomotic leak is a relatively uncommon complication, but can lead to significant morbidity and/or mortality post-esophagectomy.