Video Assisted Thoracoscopic Surgery VATS Oesophagectomy

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Video Assisted Thoracoscopic Surgery (VATS) -
Oesophagectomy

• Dr. Navin Bhambhani
• Consultant Surgical Oncologist
• Bhagwan Mahaveer Cancer Hospital Research Centre

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Case Capsule

• 65 yr gentleman.
• Dysphagia to semisolids
• UGIscopy 33 cm non negotiable lesion
• Mod. Diff Carcinoma Oesophagus.
• CT scan bulky lesion.
• 2 NACT Paclitaxel, Cisplatin, 5 FU
• Excellent response to NACT
• Thoracoscopic Total Three field Oesophagectomy
  performed - VATS

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Video Assisted Thoracoscopic Surgery (VATS) -
Oesophagectomy
Dr. Navin Bhambhani - BMCHRC
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HPR

• Mod. Diff. Adenocarcinoma infiltrating
  muscularis propria reaching adventia
• LVI
• Proximal Distal margins CRM Negative
• Perioesophageal LN at GE jn 1 /4 positive
• Rest LN Rt. Lt. recurrent laryngeal, supra/
  retro/ infra azygous, Subcarinal, Lt. Bronchial,
  Lt. Gastric, Splenic Hepatic LNs 18 nodes
  Negative.(Total 1/22 )
• pT3N1

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Thank You.