Minimally Invasive Modified McKeown Esophagectomy

Area of Science:

• Thoracic Surgery
• Surgical Oncology
• Gastroenterology

Background:

• McKeown esophagectomy is a standard surgical technique for esophageal diseases.
• The procedure involves a transthoracic approach with a cervical anastomosis.
• It has undergone significant modifications over time.

Purpose of the Study:

• To review the current status and modifications of the McKeown esophagectomy.
• To evaluate the benefits and persistent challenges of this surgical approach.
• To highlight advancements in managing complications associated with the procedure.

Main Methods:

• Review of current literature on McKeown esophagectomy modifications.
• Comparison of minimally invasive/robotic techniques with open esophagectomy.
• Analysis of complication rates and management strategies.

Main Results:

• The latest McKeown esophagectomy versions use robotic or minimally invasive ports in the chest and abdomen.
• Minimally invasive approaches show decreased pain and shorter hospital stays compared to open surgery.
• Anastomotic leak and recurrent laryngeal nerve injury remain significant complications.

Conclusions:

• Despite potential complications, advancements in managing them have reduced mortality.
• McKeown esophagectomy, particularly its minimally invasive forms, remains a relevant and effective option for esophageal pathologies.
• Ongoing refinements continue to improve patient outcomes for this established procedure.