Our Summary

This research paper discusses a study done on a less invasive surgery method for esophageal cancer patients in the Netherlands. The standard treatment there is first to use chemotherapy and radiation therapy, then follow it up with surgery. The research aimed to see the long-term results of using a less invasive surgery method after the initial treatment.

This less invasive surgery was performed on 161 patients between 2010 and 2015, most of whom were men with an average age of 65. The treatments were successful for 97% of the patients, and only around 4% died in the hospital after surgery.

The study found that after one year, 79% of the patients were still alive, and after five years, 51% were. On average, the patients were followed up with for about 2 years. The study also found that 76% of patients were cancer-free after one year, and 55% were after five years.

The researchers concluded that this less invasive surgery, when combined with chemotherapy and radiation therapy, is a safe and effective treatment for esophageal cancer. The survival rates, both overall and cancer-free, are promising.

FAQs

  1. What is the standard treatment for esophageal cancer in the Netherlands?
  2. What were the long-term results of the less invasive surgery method for esophageal cancer?
  3. What were the survival rates for patients who underwent the less invasive surgery, combined with chemotherapy and radiation therapy?

Doctor’s Tip

A helpful tip a doctor might tell a patient about esophagectomy is to follow a strict post-operative care plan, including maintaining a healthy diet and avoiding certain foods that can irritate the esophagus. It is also important to attend all follow-up appointments and screenings to monitor for any signs of cancer recurrence. Additionally, participating in a rehabilitation program to improve swallowing and speech function after surgery can greatly benefit recovery.

Suitable For

Esophagectomy is typically recommended for patients with esophageal cancer who have not responded well to other treatments such as chemotherapy and radiation therapy. It is also recommended for patients with advanced-stage esophageal cancer or those with large tumors that are difficult to remove with less invasive methods.

Additionally, esophagectomy may be recommended for patients with Barrett’s esophagus, a condition where the cells in the lining of the esophagus change due to chronic acid reflux. This condition can increase the risk of developing esophageal cancer, and surgery may be recommended to remove the affected tissue.

Overall, esophagectomy is a major surgery that is typically recommended for patients with esophageal cancer who are otherwise healthy enough to undergo the procedure. It is important for patients to discuss their treatment options with their healthcare team to determine the best course of action for their individual situation.

Timeline

Before esophagectomy:

  • Patient is diagnosed with esophageal cancer
  • Patient undergoes chemotherapy and radiation therapy as initial treatment
  • Patient prepares for surgery, including pre-operative tests and consultations

After esophagectomy:

  • Patient undergoes less invasive surgery method
  • Surgery is successful for the majority of patients
  • Patient is monitored post-surgery for complications and recovery
  • Patient may undergo additional treatments or therapies as needed
  • Follow-up appointments are scheduled to monitor long-term outcomes and survival rates

What to Ask Your Doctor

  1. What is the specific type of less invasive surgery being recommended for my esophagectomy?
  2. What are the potential risks and complications associated with this type of surgery?
  3. How long is the recovery period after the surgery, and what can I expect during this time?
  4. Will I need any additional treatments or therapies after the surgery, such as chemotherapy or radiation therapy?
  5. What are the chances of the cancer returning after this type of surgery?
  6. How often will I need to have follow-up appointments or tests to monitor my progress?
  7. Are there any lifestyle changes or dietary restrictions I should follow after the surgery?
  8. What is the success rate of this less invasive surgery compared to more traditional methods?
  9. Are there any clinical trials or newer technologies that may be beneficial for my specific case?
  10. How experienced is the surgical team in performing this type of surgery, and what is their success rate with similar cases?

Reference

Authors: Lubbers M, van Det MJ, Kreuger MJ, Hoekstra R, Hendriksen EM, Vermeer M, Kouwenhoven EA. Journal: J Surg Oncol. 2018 Mar;117(4):651-658. doi: 10.1002/jso.24935. PMID: 29603271