Mckeown esophagogastrectomy.

Esophageal cancer is increasing in incidence faster than other cancers in the US. Outcomes after esophagectomy may be related to many factors, including the age of the patient, the stage of the tumor, the operative approach, and the incidence of postoperative morbidity. Pulmonary complications are the major source of morbidity and mortality following esophageal resection, and numerous studies have identified various factors associated with these complications. Various operative approaches have been applied to the management of esophageal cancer, with the goal of optimal oncologic results with the lowest possible morbidity and mortality. The McKeown esophagogastrectomy is applicable for most patients with esophageal cancer, and the technique and results are reviewed.