Esophagectomy Surgery: A Brief Overview for Family and Friends

This information will help you understand your family member or friend’s esophagectomy surgery. Please use it as a reference while you wait during the surgery and when getting updates from your nurse liaison.

An esophagectomy is a surgery to remove part of the esophagus, the tube that carries food from the mouth to the stomach. Sometimes, part of the stomach is also removed.

Types of Esophagectomy Surgeries

There are different ways to perform esophagectomy surgery.

Ivor-Lewis esophagectomy (transthoracic esophagogastrectomy)

During an Ivor-Lewis esophagectomy, also known as a transthoracic esophagogastrectomy, an incision (surgical cut) is made in the center of the abdomen and along the side of the body, toward the back. 

After the tumor is removed, the stomach is reattached to the remaining part of the esophagus.

Transhiatal esophagectomy

During a transhiatal esophagectomy, the esophagus is removed through 2 incisions, one in the neck and one in the abdomen. 

After the tumor is removed, the stomach is attached to the remaining part of the esophagus through the neck incision.

 

3-hole esophagectomy (McKeown esophagectomy)

During a 3-hole esophagectomy, also known as McKeown, incisions are made in the abdomen, neck, and right upper back.

Minimally invasive esophagectomy

During a minimally invasive esophagectomy, a tiny camera called a laparoscope is inserted into the belly through multiple small incisions in the abdomen and back, below the shoulder. The surgeon may control the surgical tools with their hands, or they may use a robot to control the tools.

Figure 1. Your esophagus
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Once You’re in the Hospital

When you arrive at the hospital, take the B elevators to the Presurgical Center (PSC) on the 6th floor.

In the PSC

Check in at the PSC concierge desk. The clerks will ask for your cell phone number so the nurse liaison and others can contact you throughout the day. If you don’t have a cell phone number, please tell them. They will make arrangements for you to stay on the 6th floor, where you will get updates during the surgery. Please remember that there is no food or drink allowed on the 6th floor.

Once the patient is checked in, they will go to the Presurgical Unit to be examined before surgery. One person can come along, but other visitors should wait in the waiting area. If the patient wishes, other visitors may join when the nurse has finished the exam. The nursing staff will let you know how many visitors can be in the room and how long the visits will last.

Sometimes, surgeries are delayed. This could happen if an earlier surgery takes longer than expected or for other reasons beyond our control. We will make every effort to notify you if that happens.

When the operating room (OR) is ready, the surgical team will take the patient there. They will prepare the patient for surgery, which can take 15 to 90 minutes.

The Nurse Liaison role

When the patient is taken to the OR, you will be directed to the waiting area in the main lobby on the 1st floor. Check in at the main lobby desk when you arrive. While you are there, a nurse liaison will bring you updates approximately every 2 hours while the patient is in surgery. We may also call you with the exact start time of the surgery. Please remember that surgeries are sometimes delayed, even after the patient has been brought into the OR. If your nurse liaison has not called you with the start time of the surgery within 90 minutes of the scheduled start time, you can call the nurse liaison at one of the numbers below.

If you choose to leave the waiting area, the nurse liaison will call you every 2 hours with updates.

Occasionally, the surgeon will need to speak with the patient’s family and friends during the surgery to discuss findings. If this happens, the nurse liaison will be there for the conversation. The nurse liaison or the concierge clerk will also arrange for you to meet with the surgeon after the surgery is finished.

 

Please contact the nurse liaison if a problem arises or if you just need to talk. To reach your nurse liaison:

  • From inside the hospital, use a hospital courtesy phone. Dial 2000 and ask for beeper 9000. Please be patient; this can take up to 2 minutes.
  • From outside of the hospital, dial 212-639-2000. Ask for beeper 9000.
  • Ask a staff member at the front desk to contact the nurse liaison for you.
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During the Surgery

The length of the surgery is different depending on the specific procedure being done. You will be updated throughout the procedure.

While you’re waiting, here are some things you can do:

  • Food and drinks are available on the 1st floor in the cafeteria and in the gift shop. You can also bring your own food and eat it in the cafeteria. Please remember that food and drinks are not allowed anywhere on the 6th floor.
  • The coat-check room is located at the bottom of the escalator on the ground level. It’s open Monday through Friday from 11:00 am to 4:00 pm. If you have small bags or luggage with you and would like to leave the lobby, you can leave these items in the coat-check room.
  • Wireless Internet access is available in most areas of the hospital. You can also use the computers in the rooms off the main lobby. They are located in the hallway going towards the cafeteria.
  • Please be courteous and mindful of others while using your cell phone. Use the designated area to accept and make calls on your cell phone. It may be useful to bring your phone charger to the hospital.
  • The Mary French Rockefeller All Faith Chapel is an interfaith chapel located in room M106 near the main lobby on the 1st floor. The room is located just past the computer room going towards the cafeteria. It’s open at all times for meditation and prayer.
  • The Patient Recreation Pavilion is open daily from 9:00 am to 8:00 pm for patients and their visitors. Children are allowed in the pavilion as long as they are supervised by an adult. Arts and crafts, a library, an outdoor terrace, and scheduled entertainments are available in this area. To get to the pavilion, take the M elevators to the 15th floor.

The nurse liaisons will continue to update you on the progress of the surgery by phone, so please feel free to leave the lobby area at any time.

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After the Surgery

A team member will contact you by phone or in person when the surgery is almost finished. At this time, please take the B elevators to the 6th floor and check in with the PSC concierge. You will wait here to meet with the surgeon.

Meeting with the surgeon

During the meeting, the surgeon will explain what was found during the surgery and you will be able to ask questions. After you have met with the surgeon, return to the concierge desk and tell them that you have finished your consultation. You will then have a seat in the PSC waiting area until you are able to visit the patient in the Post Anesthesia Care Unit (PACU), or recovery room.

Visiting the patient in the PACU

After surgery, the patient will be taken to the PACU. It can take up to 90 minutes before the patient is ready to have visitors. You can use this time to take a walk or just relax in the waiting area until the patient is ready to see you.

When the patient is able to have visitors, a family nurse liaison will instruct you on visitation policies and procedures and escort you to the PACU. Please remember that only a limited number of visitors can go into the PACU. This is to keep the area quiet and avoid overcrowding. The patients in the PACU need time for rest and nursing care after surgery.

The patient may be tired, groggy, or uncomfortable following the surgery. The patient will be receiving oxygen through a thin tube called a nasal cannula that rests beneath their nose. They may also be connected to other tubes and wires, such as an intravenous (IV) line to administer pain medication and a pulse oximeter to measure their oxygen level and heart rate.

After your visit, the nurse will escort you back to the waiting area and continue to update you on the patient’s condition. The PACU nurse will explain the plan of care for the patient, such as whether the patient is staying overnight and when they will be moved to an inpatient room.

We will give you a card with the PACU phone number. Please appoint one person to call for updates.

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Additional Resources

Information for Family and Friends for the Day of Surgery

About Your Esophagectomy Surgery

Patient-to-Patient Support Program
www.mskcc.org/experience/patient-support/counseling/groups/patient-patient-support
212-639-5007
patient2patient@mskcc.org
A peer support group that connects patients with other people who have been through a similar cancer diagnosis and treatment.

Caregiver-to-Caregiver Support Program
www.mskcc.org/experience/patient-support/counseling/groups/patient-patient-support
212-639-5007
patient2patient@mskcc.org
A peer support group that connects caregivers with others who have supported loved ones through a similar cancer diagnosis and treatment. This support group is run through the Patient-to-Patient Support Program.

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