What is the CPT code for esophagectomy?

The CPT codes for transhiatal esophagectomy included 43107 and 43119; and for transthoracic esophagectomy, we included 43112, 43117, 43121, and 43122.

What is thoracoscopic esophagectomy?

In a minimally invasive esophagectomy, the esophageal tumor is removed through small abdominal incisions and small incisions in the right chest (thoracoscopy). The esophagogastric anastomosis is located in the upper chest as in the “open” Ivor Lewis technique.

What is Orringer procedure?

The lower mediastinal esophagus is dissected with its surrounding lymphatic tissue, the anterior vagus nerve is clipped and sectioned. B: The esophagus is the retracted upwards and the same dissection is carried out on the plane of the lower thoracic aorta. The posterior vagus is also interrupted.

What is McKeown esophagectomy?

The McKeown procedure (“tri-incisional esophagectomy”) is a type of esophagectomy, that is similar in concept to an Ivor Lewis procedure, but it tends to be used for esophageal lesions that are higher in the esophagus.

What is Transhiatal esophagectomy?

A transhiatal esophagectomy is a procedure that is sometimes used in the treatment of esophageal cancer. During an esophagectomy, part or all of the esophagus is removed and the stomach is made into a cylinder, pulled up into the neck and attached to the remaining esophagus.

What is the life expectancy after an esophagectomy?

The overall survival rates of patients after esophagectomy were 25% and 20.8% by 5 and 10 years, respectively with a SMR of 6.3 when compared to the general population (Figure 2a) and the overall median time of survival was 16.4 (95% CI: 12.5–28.7) months.

What are the types of esophagectomy?

There are three types of open esophagectomies that a surgeon might perform:

• Transthoracic Esophagectomy (TTE) A TTE is performed through the chest.
• Transhiatal Esophagectomy (THE) During a transhiatal esophagectomy (THE), the esophagus is removed without opening the chest.
• En Bloc Esophagectomy.

What is the survival rate of an esophagectomy?

Esophagectomy at High Volume Centers At high volume medical centers, the mortality rate from esophagectomy is approximately 3-8%. By contrast, the surgical mortality at low volume hospitals is 16-23%.

What are the three types of esophagectomy?

How long does an esophagectomy surgery take?

An esophagectomy is a big operation, even when it uses a minimally invasive approach. The surgery crosses two or three body cavities — abdomen, chest and neck — and routinely takes four to six hours.

How long does an esophagectomy take?

What is the most common complication after esophagectomy?

Pulmonary Complications Respiratory complications variably defined as atelectasis, pneumonia, aspiration pneumonitis, ARDS, pulmonary thromboembolism and respiratory insufficiency are the most common post-operative complications after radical esophagectomy [7].

What kind of surgery is Ivor Lewis esophagectomy?

Ivor-Lewis esophagectomy is a surgical procedure to remove the lower portion of the esophagus and the upper portion of the stomach. It is used to treat patients with esophageal cancer in the lower portion of the esophagus or at the transition between the esophagus and stomach called the gastroesophageal junction.

What kind of surgery to remove the esophagus?

Ivor-Lewis Esophagectomy. Ivor-Lewis esophagectomy is a surgical procedure to remove the lower portion of the esophagus and the upper portion of the stomach.

How is the lower esophagus dissected in a thoracic key?

This dissection facilitates the intrathoracic dissection of the lower esophagus, which can be difficult through a high right thoracotomy. An attempt should be made to advance the stomach and omentum into the posterior omentum before closing the abdomen to facilitate retrieval of the conduit from the chest.

How long is an esophagectomy in the ICU?

Rare complications include the development of a blood clot in the leg, a blood clot traveling to the lung, heart attack or stroke. After the operation, the patient is admitted to the Intensive Care Unit (ICU) typically for 1 day.