Part 1 – Planning Esophagus Surgery After Pre-Surgery Therapy | Dr Pavan Addala | GI Focus | Day 2 скачать в хорошем качестве

Part 1 – Planning Esophagus Surgery After Pre-Surgery Therapy | Dr Pavan Addala | GI Focus | Day 2

In Part 1, Dr. Pavan Addala outlines the rationale and process for assessing patients after neoadjuvant chemoradiation therapy (NACRT) for esophageal cancer. He explains that NACRT improves pathological complete response (pCR), R0 resection rates, and overall survival compared to chemotherapy alone, making it the preferred approach for most T1b–T4a cases. Assessment after NACRT focuses on determining patient fitness, tumor response, and resectability, as well as ruling out metastases before surgery. He details the complementary roles of PET-CT and contrast-enhanced CT—PET-CT for detecting systemic spread and CT for local staging, particularly T3/T4 lesions. Tumor size reduction, decreased mural thickness, perilesional fat stranding, and assessment of surrounding organ involvement are key imaging markers. For T4b disease, surgical feasibility is evaluated by measuring tumor contact with the aorta and checking fat planes around the tracheobronchial tree. Lymph node evaluation remains challenging, with limitations in differentiating fibrosis from residual disease, underscoring the need for multimodal assessment. 📺 Watch Part-2 as Dr. Pavan Addala continues with the timing of surgery post-NACRT, technical challenges during esophagectomy, and strategies to improve outcomes in complex cases. Yashoda Hospitals: Pioneering Healthcare Excellence in Hyderabad Yashoda Hospitals is among India's leading healthcare providers, renowned for its advanced medical technology and world-class facilities. Guided by visionary leadership, the Yashoda Group of Hospitals has emerged as a center of excellence in healthcare, delivering top-quality medical care to all segments of society. With cutting-edge equipment, a team of expert doctors, and a commitment to compassionate care, Yashoda Hospitals ensures that patients receive the best possible treatment for all their health needs. For more information on medical treatment, call us at +91-8929967127 Chat with us in WhatsApp with our experts: https://api.whatsapp.com/send?phone=9... Stay Informed with the Latest Health News: Yashoda Hospitals brings you the most recent updates in medical advancements and healthcare. From groundbreaking treatments to expert tips on healthy living, we keep you updated on the latest in the healthcare industry. Always Get an Expert Second Opinion Before deciding on your Treatment/Surgery. Get a free online second opinion: https://www.yashodahospitals.com/free... Check Our Health Info Updates: https://www.yashodahospitals.com/blog/ Connect with Us Online: Website: https://www.yashodahospitals.com/ Like us on Facebook:   / yashodahospitals   Follow us on Twitter:   / yashodahospital   Connect on LinkedIn:   / yashodahospitals   Follow us on Instagram:   / yashoda.hospitals   #GIFocus #EsophagealCancer #NACRT #SurgicalOncology #GIOncology #Esophagectomy #CancerSurgery #UpperGI #YashodaHospitals #DrPavanAddala