Thoracic Silo

Esophagectomy (McKeown / Ivor Lewis)

Radical resection of esophageal malignancies with gastric pull-up reconstruction.

CLINICAL ONCOLOGY PORTAL

Surgical Clearance Protocol

This protocol details the clinical parameters, resection boundaries, and anatomical checkpoints managed during the procedure. The priority is achieving R0 (microscopically negative) margins while preserving surrounding neural and vascular structures.

Procedural Stages

Thoracoscopic mobilization of the esophagus and thoracic lymphadenectomy.
Laparoscopic gastric mobilization, creating the gastric conduit.
Cervical anastomosis (McKeown) or intrathoracic anastomosis (Ivor Lewis).
Jejunostomy tube insertion for early enteral nutrition.

Clinical Citations & E-E-A-T Reference

ACADEMIC LOG

This procedure complies with international oncology benchmarks (NCCN/ESMO) and is informed by peer-reviewed studies published by Dr. Gurupreet Singh Gill:

The Journal of Laryngology & Otology (JLO) - T4a Laryngeal Carcinoma Outcomes (DOI: 10.1017/S0022215121004461 →)

Surgical Benchmarks

Clearance Goal: R0 Resection
Frozen Section: Intraoperative Verification
Systemic Care: Adjuvant Multidisciplinary Review