Minimally Invasive Esophageal Surgery

At the University of Chicago Hospitals, we have many experts specializing in minimally invasive surgery for esophageal problems. Our surgeons take a multidisciplinary approach to the diagnosis and treatment of all esophageal conditions.

Some of the minimally invasive procedures we offer our patients include:

Esophagectomy

This procedure--removal of the esophagus due to cancer or high-grade dysplasia--is usually performed laparoscopically, thoracoscopically, or using a combination of the two techniques. Patients undergoing this surgery are generally able to leave the hospital sooner and return to their normal activities more quickly than with traditional methods.

Gastroesophageal Reflux Disease

Gastroesophageal reflux disease (GERD) is usually treated with dietary modifications and daily medications that suppress acid production by the stomach. Lifestyle changes or medications do not lead to sustained improvement for some patients. Other patients require daily medication. Surgery can be a very effective treatment for both of these groups.

Our surgeons perform these anti-reflux procedures--commonly referred to as Nissen fundoplication--using laparoscopic techniques. Usually patients are discharged the day after surgery without antacid medications. In addition, our surgeons are often able to revise or repair unsuccessful anti-reflux procedures performed at other facilities using a minimally invasive approach.

Hiatal Hernias

Certain types of severe hiatal hernias--known as paraesophageal hernias, in which the stomach slides into the chest--are also treated using laparoscopy instead of opening up the chest through the rib cage.

Motility Disorders

Motility disorders affect the strength and coordination of esophageal muscle contractions. One particular disorder--achalasia--was treated in the past with endoscopic therapies that provided relief in about 75 percent of patients. With laparoscopic techniques, we improve symptoms of achalasia in about 95 percent of patients. Usually the procedure requires an overnight stay in the hospital.

More Information

• Minimally Invasive Colorectal Surgery
• Minimally Invasive Esophageal Surgery