This session addresses the complexities of lymphadenectomy in salvage esophagectomy for recurrent or persistent esophageal cancer. Dr. T.S. Rao discusses the technical and clinical challenges associated with prior treatments such as chemoradiotherapy, highlighting the importance of specialized, high-volume centers. Key topics include complication management, preservation of critical structures such as bronchial arteries, and operative strategies in high-risk settings.
The session concludes with an expert Q&A moderated by Dr. Caleb Harris, covering extent of dissection, recurrent laryngeal nerve management, thoracic duct preservation, and the use of imaging such as FDG PET-CT in guiding lymphadenectomy.