Akiyama Procedure as a Surgical Option for Esophageal Cancer

Background The purpose of this study is to introduce our experience with the Akiyama procedure as a surgical option for treatment esophageal cancer in Mother Theresa Hospital Center Tirana, Albania. Selection suitable site anastomosis after esophagectomy, whether cervical or thoracic key optimal oncological results. goal minimize recurrence patients and avoid complications related surgery. Controversy still exists among surgeons well done manually stapler. Material methods From October 2018 June 2021, 27 interventions were performed unit. In 15 patients, subtotal esophagectomy Ivor-Lewis mediastinal esophago-gastric was performed. 8 distal proximal gastrectomy an abdominal 4 anastomosis, we are evaluating description technique, patient criteria inclusion, protocol postoperative care. Discussion practice used chemotherapy radiotherapy part multimodality plan. All carcinoma had radiation prior use stapler devices anastomoses some studies linked higher rate leakage but consider it preferential choice surgeon. We opted one-layer esophagogastric neck shown instead two-layer technique because lower rates stricture formation. level exposure route advantageous making accurate anastomosis. retrosternal space replacement local tumor posterior mediastinum. Conclusion As other cancers there mandatory evaluation congruence guidelines order each have adjuvant therapy according its stage. per T1-2, N0 stage treated surgery alone close follow up T3 N1/M1 should be considered that extensive disease not candidates alone. It advised type one which surgeon more experienced has best outcome terms strategy morbidity mortality. Keywords: General surgery, Esophageal cancer, procedure, Cervical DOI: 10.7176/ALST/96-02 Publication date: December 31 st 2022