Expert Esophageal Disease Care at One of China's Premier Esophageal Surgery Centers
The Department of Esophageal Disease at Shanghai Chest Hospital — affiliated with Shanghai Jiao Tong University School of Medicine — is one of China's most distinguished esophageal disease centers, with a national reputation for excellence in esophageal cancer surgery, minimally invasive esophagectomy, robotic esophagectomy, endoscopic resection of early esophageal cancer, and the management of complex benign esophageal conditions. Shanghai Chest Hospital performs one of the highest volumes of esophageal cancer surgery in China, making it a national reference center for esophageal disease. China Medical Concierge Shanghai (CMCS) provides seamless end-to-end coordination for international patients throughout their esophageal care journey.
About the Department
The esophageal disease department operates dedicated esophageal surgery wards, a high-volume esophageal surgical program, a minimally invasive and robotic esophagectomy program, an endoscopic early esophageal cancer resection program, and works in close collaboration with pulmonary medicine, radiation oncology, gastroenterology, pathology, and nutritional support through a fully integrated esophageal cancer MDT.
Esophageal Cancer Surgery
Minimally Invasive Esophagectomy (MIE)
- Ivor Lewis MIE — Thoracoscopic right chest + laparoscopic abdomen; intrathoracic anastomosis; one of China's highest-volume MIE programs; reduced pulmonary complications; faster recovery
- McKeown MIE (Three-Field) — Thoracoscopic + laparoscopic + cervical anastomosis; for upper and mid-thoracic esophageal cancer; three-field lymphadenectomy
- Transhiatal Esophagectomy (THE) — Laparoscopic transhiatal approach; avoids thoracotomy; cervical anastomosis
- Sweet Procedure — For gastroesophageal junction (GEJ) and cardia tumors; one of China's most experienced Sweet procedure programs
Robotic Esophagectomy (RAMIE)
- Robotic-Assisted MIE — da Vinci Xi; thoracoscopic robotic dissection; superior mediastinal lymphadenectomy; recurrent laryngeal nerve (RLN) preservation; one of China's most experienced RAMIE programs
- Robotic Three-Field Lymphadenectomy — Bilateral RLN lymph node dissection; superior mediastinal dissection
Open Esophagectomy
- Open Ivor Lewis — Right thoracotomy + laparotomy; for complex cases
- Open Three-Field — For upper thoracic and cervical esophageal cancer; bilateral lymphadenectomy
- Redo Esophageal Surgery — For recurrent or residual disease after prior esophagectomy
Conduit Reconstruction
- Gastric Conduit — Standard reconstruction; tubular gastric conduit
- Colonic Interposition — For patients with prior gastric surgery or unsuitable stomach
- Jejunal Free Flap — For cervical esophageal reconstruction; microvascular anastomosis
Endoscopic Resection of Early Esophageal Cancer
- Endoscopic Submucosal Dissection (ESD) — For T1a mucosal and selected T1b submucosal esophageal cancer; en bloc resection; curative resection avoiding esophagectomy; one of Shanghai's most experienced esophageal ESD programs
- Endoscopic Mucosal Resection (EMR) — For small mucosal lesions; cap-assisted and ligation-assisted EMR
- Radiofrequency Ablation (RFA) — For Barrett's esophagus with high-grade dysplasia
- Photodynamic Therapy (PDT) — For selected early esophageal cancer and high-grade dysplasia
Multimodal Esophageal Cancer Treatment
- Neoadjuvant Chemoradiation (nCRT) — CROSS protocol (carboplatin + paclitaxel + RT); for locally advanced esophageal cancer; followed by esophagectomy
- Neoadjuvant Chemotherapy — FLOT for GEJ adenocarcinoma; FOLFOX; followed by surgery
- Perioperative Immunotherapy — Nivolumab + chemotherapy (CheckMate 648); Pembrolizumab + chemotherapy (KEYNOTE-590); one of Shanghai's most experienced perioperative immunotherapy programs
- Adjuvant Nivolumab — CheckMate 577; for residual pathological disease after nCRT + esophagectomy
- Definitive Chemoradiation — For unresectable or medically inoperable esophageal cancer; concurrent chemotherapy + IMRT/VMAT
- Palliative Systemic Therapy — Nivolumab + chemotherapy; Pembrolizumab + chemotherapy; Trastuzumab for HER2+ GEJ adenocarcinoma; Ramucirumab + paclitaxel (RAINBOW) second-line
Benign Esophageal Disease
- Achalasia — Peroral endoscopic myotomy (POEM); laparoscopic Heller myotomy + Dor fundoplication; pneumatic dilation; one of China's most experienced POEM programs
- GERD — Laparoscopic Nissen fundoplication; Toupet fundoplication; LINX magnetic sphincter augmentation
- Hiatal Hernia — Laparoscopic hiatal hernia repair; large paraesophageal hernia; mesh reinforcement
- Esophageal Diverticulum — Zenker's: endoscopic or open cricopharyngeal myotomy; mid-esophageal and epiphrenic: thoracoscopic resection
- Esophageal Stricture — Endoscopic balloon dilation; bougie dilation; self-expanding metallic stent (SEMS)
- Esophageal Perforation & Fistula — Endoscopic stenting; surgical repair; tracheoesophageal fistula (TEF) management
- Barrett's Esophagus Surveillance — High-definition endoscopy; NBI; chromoendoscopy; RFA for dysplastic Barrett's
Why International Patients Choose Shanghai Chest Hospital Esophageal Disease
- Highest-Volume Esophageal Cancer Surgery in China — One of China's highest-volume esophageal cancer surgery programs; extensive experience with complex and redo cases
- Robotic Esophagectomy (RAMIE) — One of China's most experienced RAMIE programs; superior mediastinal dissection; RLN preservation
- POEM for Achalasia — One of China's most experienced POEM programs; minimally invasive; avoids thoracotomy
- Perioperative Immunotherapy — One of Shanghai's most experienced centers for CheckMate 648/577 and KEYNOTE-590 protocols
- Integrated Esophageal MDT — Surgery, pulmonary medicine, radiation oncology, endoscopy, pathology, and nutrition under one roof
- Cost-Effectiveness — World-class esophageal cancer surgery at significantly lower cost than equivalent treatment in Western countries
The CMCS Patient Journey
- Initial Inquiry — Share your esophageal diagnosis, CT/PET-CT scans, endoscopy reports, pathology, and prior treatment history with CMCS.
- Medical Record Preparation — We translate and organize your records for specialist pre-consultation review.
- Specialist Matching — We identify the most appropriate esophageal surgeon or oncologist based on your condition.
- MDT Submission — We facilitate pre-arrival esophageal cancer MDT case review for complex cases.
- Priority Scheduling — We secure a consultation and surgical slot with minimal waiting time.
- Travel & Logistics — Assistance with visa invitation letters, accommodation near Shanghai Chest Hospital, and Shanghai airport transfers.
- Surgical Coordination — Full coordination of pre-operative assessment, anesthesia planning, surgical admission, and ICU care if required.
- Post-Operative Follow-Up — Surgical report translation, nutritional guidance, adjuvant therapy coordination, and remote follow-up after you return home.
Book a Consultation
If you require esophageal cancer surgery, minimally invasive or robotic esophagectomy, endoscopic resection, POEM, or management of complex benign esophageal conditions — CMCS can arrange a specialist consultation with Shanghai Chest Hospital's esophageal disease team.
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