Mckeown Procedure Treatment in Turkey
About Mckeown Procedure
Key Highlights
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Curative intent surgery for localized esophageal cancer.Allows for extensive lymph node dissection, which is crucial for cancer staging and prognosis.Preserves the stomach as the primary organ for reconstruction, avoiding the need for a colonic interposition in most cases.Provides a clear surgical margin by performing the anastomosis (reconnection) in the neck.Can be performed using minimally invasive techniques (laparoscopic/thoracoscopic) in selected patients to reduce recovery time.
Who is this surgery for?
- Adenocarcinoma or squamous cell carcinoma of the middle or lower esophagus.
- Locally advanced esophageal cancer that has not spread to distant organs (non-metastatic disease).
- Cases where neoadjuvant chemoradiation has been completed to shrink the tumor.
- Recurrent or persistent cancer after endoscopic or other less invasive treatments.
- Certain benign conditions like end-stage achalasia or severe corrosive injury, though this is less common.
How to prepare
- Comprehensive pre-operative assessment including CT scans, PET-CT, endoscopic ultrasound (EUS), and biopsies for accurate staging.
- Nutritional optimization, which may include dietary counseling or placement of a feeding tube (e.g., jejunostomy) if the patient is malnourished.
- Prehabilitation with breathing exercises and light physical activity to improve lung and heart function.
- Smoking and alcohol cessation is mandatory several weeks before surgery.
- Adjustment or temporary cessation of certain medications like blood thinners (aspirin, warfarin) as advised by the surgeon and cardiologist.
- Bowel preparation may be required.
- Psychological counseling to prepare for the major surgery and recovery process.
Risks & possible complications
- General surgical risks: Reaction to anesthesia, bleeding, and infection.
- Specific to the procedure: Anastomotic leak (leakage from the reconnection site), which is a serious complication.
- Respiratory complications like pneumonia or pleural effusion (fluid around the lung).
- Cardiac arrhythmias or other heart-related issues.
- Recurrent laryngeal nerve injury, leading to hoarseness of voice.
- Chyle leak (leakage of lymphatic fluid).
- Delayed gastric emptying, causing nausea and vomiting.
- Long-term issues: Dumping syndrome, reflux, and stricture (narrowing) at the anastomosis site requiring dilation.
Recovery & hospital stay
- Initial recovery in the ICU or high-dependency unit for 1-2 days for close monitoring of vital signs and the surgical site.
- Pain is managed effectively with epidural or patient-controlled analgesia (PCA).
- A contrast swallow study is typically performed around day 5-7 to check for leaks before starting oral intake.
- Diet progresses slowly from clear liquids to pureed foods over several weeks, guided by a dietitian.
- Early mobilization with physiotherapy support is encouraged to prevent blood clots and pneumonia.
- Regular follow-up appointments are essential to monitor healing, nutritional status, and for any necessary endoscopic dilations.
- Full recovery of strength and adaptation to new eating patterns can take several months.
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Typical hospital stay:
10-14 days
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Expected recovery time:
6-8 weeks for basic activities, 3-6 months for full recovery
Frequently Asked Questions
If you are considering mckeown procedure in Turkey, these questions and answers can help you make a confident, informed decision.
Top-rated hospitals in Turkey with surgical gastroenterology departments and experienced surgeons are ideal for this procedure. Use MediFyr to compare facilities, reviews, and doctor profiles before you decide.
Look at the doctor’s years of experience, hospital association, patient reviews, and how often they perform mckeown procedure. MediFyr helps you compare surgical gastroenterologists and book consultations online.
The overall cost depends on hospital category, surgeon’s experience, room type, implant or device used (if any), length of stay, tests, and post-operative care. Our team can help you get cost estimates from multiple hospitals before you decide.
Procedure cost in other countries
Here is an overview of how the estimated cost, hospital stay, and recovery time for mckeown procedure compare across other countries where we have data.
Dr. surendran r provided exceptional care...
Dr. surendran r provided exceptional care for my surgical gastroenterology condition. The treatment was personalized and effective.