Esophageal Cancer Surgery. Akiyama Procedure

A specialist clinical monograph for thoracic and general surgeons who specialise in the treatment of esophageal cancer, supported by practical images and video.

Esophageal cancer is a challenging area which includes the specialties of gastro-hepatology, radiology, radio-chemotherapy, anesthesia, psychology and surgery, requiring treatment by a multidisciplinary team. In this type of surgery tumors located in the middle and upper 1/3 present a particular challenge, so the author describes how the use of the ‘Akiyama procedure’ can alleviate this, maximising operative access.

This content is suitable for practising surgeons with a range of surgical experience, and the step-by-step approach is fully illustrated with both photographs and access to operative videos. Key points are described, and potential pitfalls explained.

CONTENTS

1. A brief history of Esophageal Surgery, 2. Embryology, Anatomy and Physiology of Esophagus, 3. Epidemiology of esophageal cancer, 4. Classification of esophageal cancer, 5. Signs and symptoms of esophageal cancer, 6. Diagnosis of esophageal cancer, 7. Operative techniques and lymphatic curage, 8. Results of esophageal surgery, 9. Complications, 10. Discussion and conclusions