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Esophageal Cancer: Surgery Or Not?

Esophageal Cancer | Last Active: Sep 5 3:11pm | Replies (133)

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Hello,
I have been on my journey since my esoph T2B diagnosis on Feb 11 2025.
I am a 64 year old male with no other medical issues. I too have reached on on this site with the same question on surgery or not.
I completed my chemo and proton radiation on June 17. I did decide to have minimally invasive surgery which was done on 07/30/2025.
From reading too much and forming my own idea of the outcome, i expected to feel like i was mulled by a bear after surgery.
I am now 11 days post surgery The truth is the only pain I have is at robotic incision points and the pain is very tolerable and I move around quit well!
My main concern is adjusting to a new norm in eating which will begin in 10 days. I believe ill adapt just fine .
I received my post surgery pathology report just this morning. The results came back better than the diagnosis. Cancer did not make it through the mucosal layer, 15 lymph nodes were removed and they were all clear of cancer .
Surgery or not?
If diagnosed anything greater than stage 1 affecting lymph nodes, i say have surgery. From my research, 12-18 mo after chemo and radiation and the cancer could likely be back and worse .
My greatest of prayers and wishes.
Rick

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Replies to "Hello, I have been on my journey since my esoph T2B diagnosis on Feb 11 2025...."

This makes me feel a bit better. My hubby is having this surgery next week and I’ve been very nervous.

Hello Rick,
I'd be curious to know what your minimally invasive surgery was. The surgeon I consulted with was indicating, I believe, Ivor Lewis, which is billed as minimally invasive being it is robotic, but the procedure is all but that (in my opinion). A portion of the stomach is removed, the esophagus is resected almost in its entirety, and the remaining stomach is pulled up and attached to the remaining esophagus. The recovery is a 7 to 9 day stay in the hospital with a feeding tube and chest tube. Then home recovery can take up to six months or longer. Your surgery did not sound that complicated.
Tom