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Esophagectomy Transthoracic

Transthoracic esophagectomy is performed by removing the esophagus through an incision in the right chest.  A second incision is then made in the abdomen to use the stomach or the colon (large intestine) to replace the esophagus. To restore swallowing, the small remaining upper part of the esophagus is then connected to the stomach (a gastric pull-up procedure) or the colon (a colon interposition), either in the right chest or in the neck (by making a third incision in the neck).

En-bloc esophagectomy is a transthoracic esophagectomy which involves removal of the esophagus and all the tissues and lymph nodes around the esophagus via an incision in the right chest. A second incision is then made in the abdomen to use the stomach or the colon (large intestine) to replace the esophagus. To restore swallowing, the small remaining upper part of the esophagus is then connected to the stomach (a gastric pull-up procedure) or the colon (a colon interposition) in the neck, by making a third incision in the neck.