Synchronous combined abdomino- thoraco-cervical (oesophagectomy)

A synchronous combined abdomino-thoraco-cervical oesophagectomy with an abdominal and a thoracic team working simultaneously, is advocated. The method is described. The necessity for wide excision of the oesophagus is stressed, and the routine use of the stomach for reconstruction is advised. This approach may be used for both benign and malignant conditions.