Oesophagus and stomach

Oesophagus

Diseases that we regularly treat:

  • Malignant diseases of the oesophagus
  • Oesophageal diverticula
  • perforations
  • Constrictions

Stomach

Diseases that we regularly treat:

  • Malignant diseases of the stomach and gastro-oesophageal junction
  • Benign tumours (GIST)
  • Diaphragmatic hernias
  • Gastro-oesophageal reflux disease (GERD)
  • Obesity(click here for the website)

We treat all our patients in close co-operation with our colleagues in Internal Medicine I (Gastroenterology - Gastrointestinal Oncology). This enables us to use the most modern and best possible treatment methods, if necessary in combination, for the benefit of the patient.

 

 

Our OP planning

Our principles here are always

  • As little invasive as possible
  • Avoid large surgical approaches - aim for minimally invasive surgery
  • Short hospitalisation through intensified preoperative preparation and postoperative care

 

 

Our surgical technique

 

 

Depending on the clinical picture and localisation, the following robotic surgical procedures are used. All procedures are firmly established as standard:

Oesophagus

  • Robotic thoracoabdominal oesophageal resection (AEG type I/II carcinoma, squamous cell carcinoma of the lower and middle oesophagus)
  • Robotic thoracoabdominal oesophageal resection with retrosternal gastric pull-up and cervical anastomosis (including high primary oesophageal carcinoma after RCT, recurrent oesophageal carcinoma after RCT)
  • Robotic thoracic oesophageal resection with collar drainage and gastric bladder closure with PEG placement (for emergency situations - including extensive oesophageal rupture, oesophageal necrosis)
  • Robotic thoracic oesophageal diverticulum resection (epiphrenic diverticulum)

Stomach

  • Robotic gastrectomy (gastric carcinoma) with Roux-Y oesophagojejunostomy
  • Robotic 4/5 gastrectomy (distal gastric carcinoma, antrum carcinoma)
  • Robotic gastrectomy with transhiatal distal oesophageal resection (AEG type III)
  • Robotic BI or BII resection (benign tumours, stenoses)
  • Robotic or laparoscopic gastric wedge resection (small tumours)
  • Robotic hiatoplasty with hemifundopliatio (up-side-down stomach)
  • Robotic hiatoplasty with 270°/360° fundoplication (GERD)
  • Robotic or laparoscopic ulcer excision (emergency)

Other diseases/conditions and surgical procedures:

  • Cervical oesophageal diverticulum resection (cervical diverticulum in case of recurrence/very large primary findings)
  • Restoration of continuity after cervical diversion (depending on the previous operation, also robotically minimally invasive)
  • Achalasia - surgical procedures from robotic myotomy to oesophageal resection depending on the stage

Other specialised procedures:

  • Open én-bloc multivisceral resections (e.g. pancreas, liver, intestine) for extensive tumour involvement
  • Robotic/laparoscopic treatment of recurrent hernias/GERD recurrence (with mesh insertion if necessary)
  • HIPEC for isolated peritoneal carcinomatosis

 

 

If you have any questions regarding diseases or the technical surgical options, you are welcome to contact the head of the oesophageal and gastric surgery department, Prof Kornmann, directly. We look forward to hearing from you.

 

 

Our research

 

 

Contact us

For joint therapy planning or case discussions, please contact the head of department, Prof Kornmann, at any time .