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Cost of Esophagectomy in Major cities of Vietnam
| City | Minimum Cost (USD) | Minimum Cost (VND) | Maximum Cost (USD) | Maximum Cost (VND) |
|---|---|---|---|---|
| Can Tho | USD 55000 | 1448865000 | USD 150000 | 3951450000 |
| Da Nang | USD 55000 | 1448865000 | USD 150000 | 3951450000 |
| Ha noi | USD 44000 | 1159092000 | USD 120000 | 3161160000 |
| Ho Chi Minh | USD 55000 | 1448865000 | USD 150000 | 3951450000 |
| Nha Trang | USD 49500 | 1303978500 | USD 135000 | 3556305000 |
| Phu Quoc | USD 49500 | 1303978500 | USD 135000 | 3556305000 |
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Esophagectomy is a major surgery that removes a portion or all of the oesophagus, typically for oesophageal cancer or cancer of the gastro-oesophageal junction (GEJ). Additionally, it might be advised in some non-cancer disorders including advanced Barrett's oesophagus with high-grade dysplasia, infrequently for non-malignant strictures, or in emergency scenarios like severe esophageal damage or perforation.
Consult a professional if you have progressive difficulty swallowing (dysphagia), particularly with solid foods, unexplained weight loss, chronic reflux/heartburn that is not eased by medication, regurgitation or vomiting, or chest pain/discomfort while swallowing. Additionally, if you get prolonged hoarseness, a chronic cough, blood in your vomit, or black stools, you should get medical help.
Esophagectomy preparation consists of a complete medical fitness assessment, endoscopy with biopsy, CT/PET-CT staging, and, in some cases, EUS, as well as heart testing (ECG/echo), lung function tests (PFT), and blood tests for liver and kidney function.
Esophagectomy is a general anaesthetic procedure that involves removing the diseased section of the oesophagus, as well as any adjacent lymph nodes. The digestive tract is then rebuilt by making a new link (anastomosis) with the residual oesophagus, typically with a stomach pull-up (and in certain circumstances, colon interposition). A feeding tube (jejunostomy) may be inserted to provide nourishment during recovery, and it may be carried out via minimally invasive thoracoscopic/laparoscopic, abdominal–chest, or abdominal–neck techniques.
Depending on the surgical technique (open vs. minimally invasive), the intricacy of the condition, and whether reconstruction is necessary, an esophagectomy typically takes four to eight hours.
A major surgical procedure is an esophagectomy. Among the potential issues are:
- Bleeding
- Infection (pneumonia, chest wound infection)
- Anastomotic leak (surgical connection leak)
- Breathing difficulties brought on by lung involvement
- Damage to the vocal cord nerve (hoarseness)
- Clots of blood (DVT/PE)
- Narrowing at the anastomosis, or stricture
- Acid reflux and problems swallowing
- Delayed emptying of the stomach
- Chronic nutritional deficiencies
Esophagectomy has several significant advantages, including being a curative therapeutic option for resectable esophageal cancer, removing diseased tissue and thereby lowering the chance of cancer spread, and facilitating swallowing and food transit. It can improve general quality of life after recovery and boost long-term survival in appropriate cancer situations.
Depending on the patient's health, recovery usually entails ICU monitoring for one to three days, followed by an overall hospital stay of seven to fourteen days (longer if complications occur). Pain management, chest physical therapy, and a stepwise eating schedule-beginning with tube feeding, moving on to liquids, soft foods, and finally normal intake-are all part of post-operative care.
The success of an esophagectomy is determined by factors such as cancer stage, the patient's lung function and overall health, hospital and surgeon experience, early diagnosis, and suitable treatment planning. Esophagectomy can offer excellent long-term survival benefits in early and locally advanced cases when paired with chemo-radiotherapy when necessary, particularly in highly specialised centres.
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Vinmec Central Park International Hospital
Ho Chi Minh, Vietnam
- A modern multi-speciality hospital with 178 inpatient beds across seven floors and three basements.
- Equipped with advanced diagnostic imaging technologies including MRI, CT Scan, X-ray, Ultrasound, and Digital Mammography.
- The cardiology department features state-of-the-art facilities, including cardiovascular intervention suites and advanced echocardiography equipment.
- The Oncology centre offers comprehensive cancer diagnosis and treatment with access to modern radiotherapy and chemotherapy equipment.
- Sophisticated life-support systems and continuous patient monitoring technology support ICU and emergency units.
- Operating theatres are equipped with high-tech surgical instruments and infection control systems to ensure safety and precision.
- Neonatal and pediatric care units are equipped with specialised equipment to support the health of newborns and children.
- Gastroenterology and endoscopy services utilise high-definition endoscopic imaging for accurate diagnosis and minimally invasive procedures.
- Laboratory services certified to international standards offer fast and accurate testing, utilising advanced automation.
- Pharmacy services ensure the availability of a wide range of medications with stringent quality control.
- Integrated IT systems facilitate online patient registration, appointment scheduling, and real-time access to medical results.
- Pain management and anaesthesia departments utilise modern techniques to enhance patient comfort during procedures.
- Specialised centres for obstetrics, gynaecology, and general surgery deliver comprehensive care with expert medical teams.
- Focus on personalised treatment plans developed through collaboration with international medical experts and continuous training.
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+99Process Involved for Esophagectomy in Ho Chi Minh
- Endoscopy, biopsy, CT/PET, and staging
- Tumour board multidisciplinary evaluation
- Optimising diet and pulmonary rehabilitation prior to surgery
- Neoadjuvant radiation or chemotherapy, if applicable
- Surgery for an esophagectomy
- ICU and the healing process after surgery
- Progression of the diet, rehabilitation, and monitoring
- Depending on the pathology result, adjuvant therapy may be necessary.
- Esophageal cancer (adenocarcinoma/squamous cell carcinoma)
- Cancer of the gastro-oesophageal junction
- Barrett's esophageal severe dysplasia (selected cases)
- Rarely, complicated esophageal injuries or strictures
Esophagectomy types include:
- Esophagectomy Transhiatal
- Transthoracic Esophagectomy
- Three-phase esophagectomy (McKeown)
- Esophagectomy by Ivor Lewis
- Esophagectomy with Minimal Invasion (MIE)
- Esophagectomy with robotic assistance
International patients typically need the following in order to receive treatment in {country}:
- A valid visa and passport
- Reports on verified diagnoses (biopsy, scans)
- Records of medical fitness
- Informed consent forms that have been signed
- Approvals for insurance (if applicable)
A patient might be eligible for esophagectomy if:
- Without distant metastases, cancer is localised and treatable.
- Both general anaesthesia and major surgery are appropriate for this patient.
- Sufficient lung and cardiac health
- Nutritional status can aid in healing.
- Biopsy and endoscopy
- Placement of a feeding jejunostomy
- Separation of lymph nodes
- Chemotherapy/radiation
- Stricture dilatation (if necessary later)
- Provides the best probability of cure in resectable instances.
- Enhances the ability to swallow following recuperation
- Allows for precise lymph node evaluation staging.
- Increases survival when paired with cancer treatment.
After esophageal surgery, patients can expect:
- Progressive improvement in feeding and swallowing
- Dietary adjustments are required (small, frequent meals)
- Potential drugs for reflux management
- Frequent monitoring for recurrence (if cancer-related)
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