McKeown procedure

The McKeown procedure ("tri-incisional oesophagectomy") is a type of oesophagectomy, that is similar in concept to an Ivor Lewis procedure, but it tends to be used for oesophageal lesions that are higher in the oesophagus.

Procedure

  • laparotomy
    • stomach mobilized, the oesophagus
    • "gastric tube" may be formed
    • abdominal lymphadenectomy
    • possible pyloroplasty or pylormyotomy (not practiced by all surgeons)
  • right thoracotomy (fifth intercostal space)
    • oesophagus and adjacent tissue removed en bloc
    • mediastinal lymphadenectomy
    • stomach (or gastric tube) pulled into chest and anastomosed with the more proximal oesophagus
  • left neck insicion
    • for formation of a cervical anastomosis

Differential diagnosis

The imaging differential diagnosis includes

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Article information

rID: 43254
Synonyms or Alternate Spellings:
  • Tri-incisional oesophagectomy
  • Tri-incisional esophagectomy
  • McKeown esophagectomy
  • McKeown oesophagectomy

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