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4

Overview of cancer treatments Surgical treatment

Ivor Lewis or McKeown approach. A laparoscope will

be inserted through a small cut into your abdomen.

Through this cut, work on your stomach can be done.

A thoracoscope, which is much like a laparoscope, will

also be inserted into a small cut made between your

ribs. This cut allows work to be done in the chest.

After the cancer is removed, your stomach will need

to be attached to your remaining esophagus.

See

Figure 11

. It may be directly attached or a piece

of your intestine may be used to connect the two

organs. As you heal from surgery, you will receive

food from a J-tube that is inserted through your side

and into your intestine.

Side effects of surgery

Surgery causes pain, swelling, and scars. Pain and

swelling often fade away in the weeks following

surgery. As with any surgery, there is a chance of

infection, heart attack, or a blood clot. Importantly, an

infection of the lungs (pneumonia) can occur. Your

surgical team will design care to prevent it.

Less often, food may leak from the esophagus into

the chest and cause pain. Food may not quickly pass

through the stomach and cause nausea and vomiting.

Your esophagus may become narrow after surgery

and cause problems with swallowing.

Not all side effects of surgery are listed here. Please

ask your treatment team for a complete list of

common and rare side effects. If a side effect bothers

you, tell your treatment team. There may be ways to

help you feel better.

35

NCCN Guidelines for Patients

®

Esophageal Cancer, Version 1.2016

Illustration Copyright © 2014 Nucleus Medical Media, All rights reserved.

www.nucleusinc.com

Figure 11.

Before and after

esophagectomy

Surgery removes any of your

esophagus that has cancer and

then attaches your stomach to

your remaining esophagus.

Illustration Copyright © 2016 Nucleus Medical Media, All rights reserved.

www.nucleusinc.com

Before

After