Sergei Dolgopolov MD General Surgeon NYC
Valery Dronsky MD General Surgeon NYC
Roman Grinberg MD General Surgeon NYC
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Surgical Experts Dedicated to Improving Lives

At Lenox Hill Surgeons, our dedicated team of nyc surgeons and medical professionals provide compassionate care with the highest ethical & professional standards. In our state of the art facility, we offer surgical services using only the most cutting edge and current procedures and treatments.We specialize in general surgery, including extensive experience in performing hernia repair surgery. Our expertise is in minimally invasive surgery and robotic surgery. Minimally invasive and robotic surgery often allow patients to experience easier recovery than traditional open surgery. They also allow for more precise and less traumatic surgery. When robotic and minimally invasive surgery is not an option, we are also skilled and experienced in traditional open surgical procedures.

All of our doctors are experienced and skilled surgeons having undergone extensive training in school, residency and fellowships. They all practice medicine with ethical behavior, compassion and superb bedside manner. In the operating room they all exhibit precise mechanical abilities, analytical thinking and the ability to visualize tissue in three dimensions. These innate and learned skills allow our surgeons to be some of the most dexterous and skilled professionals in all of New York City and the Country.

Call us: 646-846-1136

Lenox Hill Surgeons

Recent Awards

We are honored and deeply appreciative to have consistently received prestigious awards and recognition year after year, establishing us as one of New York’s foremost hospitals for a wide range of general surgeries, safety measures, specialized procedures, and overall excellence in healthcare. At Lenox Hill Surgeons, our unwavering commitment lies in delivering exceptional care and unwavering support to our patients, guaranteeing their safety and successful recovery throughout their entire surgical experience.


Hospital Quality Awards


Americas 50 best hospitals award 2022 2023-best surgeons nycAmerica’s 50 Best Hospitals Award™ (2023, 2022)

Top 1% in the nation for providing the highest clinical quality year over year.

Best Surgeons NYC-America's 100 Best Hospitals Award Healthgrades

America’s 100 Best Hospitals Award™ (2021)

Top 2% in the nation for consistently delivering clinical quality year over year.

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America’s 250 Best Hospitals Award™ (2023, 2022, 2021)

Top 5% in the nation for consistently delivering clinical quality.

Helathgrades Patient Safety Excellence Award 2022 2023 - Best General Surgeons

Patient Safety Excellence Award™ (2023, 2022)

Top in the nation for providing excellence in patient safety by preventing infections, medical errors, and other preventable complications.


Specialty Clinical Quality Awards


 

Americas 100 best cardiac care award | Healthgrades

America’s 100 Best Hospitals for Cardiac Care Award™ (2023, 2022, 2021, 2020, 2019)

Superior clinical outcomes in heart bypass surgery, coronary interventional procedures, heart attack treatment, heart failure treatment, and heart valve surgery.

healthgrades-americas-100-best-hospitals-coronary-intervention-award-2023

America’s 100 Best Hospitals for Coronary Intervention Award™ (2023, 2022, 2021, 2020, 2019)

Superior clinical outcomes in coronary intervention procedures (angioplasty with stent).

healthgrades-americas-100-best-hospitals-prostate-surgery-award-2023

America’s 100 Best Hospitals for Prostate Surgery Award™ (2023, 2022, 2021)

Superior clinical outcomes in prostate removal surgery and transurethral resection of the prostate.

Click to see all of our Healthgrades best doctors awards

 


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Castle Connolly Top Doctors 2023

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Tag Archives: Transmittal esophagectomy (THE)

Surgery for Esophageal Cancer – General Surgeon NYC

Esophagus Surgery: Steps, Benefits, Side-Effects, Precautions & Prognosis

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Esophagogastrectomy or esophagus surgery entails doing away with the entire esophagus (and often a stomach part) for treating esophageal cancer, Barrett’s esophagus, achalasia, esophageal stenosis, and GERD. The thoracic surgeon transforms the remaining section of the stomach into a tubular form serving as the replacement for the excised esophagus. The reconstructed esophagus enables the patient to swallow as he or she was doing before the surgery.

Steps

A surgical team comprising of medical specialists and headed by a thoracic or general surgeon performs esophagogastrectomy. The surgical procedure is usually open-type and is carried out in three separate ways.

  1. Transthoracic esophagectomy (TTE) is conducted via the chest cavity
  2. Transmittal esophagectomy (THE) is performed by making incisions in the breastbone and the neck’s left side
  3. En bloc esophagectomy is performed by perforating the abdomen, chest, and neck

Nowadays, the majority of the esophageal surgeries are done using the minimally-invasive laparoscopic procedure where 5-6 fine incisions are made in the abdomen, chest, and neck. The total number of slits (along with their locations) to be made are decided based on the purpose of carrying out the operation and whether the patient has undergone abdominal or thoracic surgeries on previous occasions.

Regardless of the type or method used, the operation is complex thereby necessitating an extended stay in the hospital. If the metastasis is limited to the esophagus and not spread further, excising the gullet and adjacent lymph nodes might help reverse cancer. Alas, most of the cases are detected at an advanced stage compelling the surgeon to go for a compound surgery.

Benefits

Minimally invasive esophagectomy has proven to be more effective compared to open esophagectomy as the postoperative mortality and morbidity rates related to the former are much lower. There are numerous studies to corroborate the outcomes associated with MIE are better than PE. Some of the likely benefits associated with MIE vis-à-vis PE comprise:

  • Ashorter period of hospitalization
  • Less painful procedure
  • Reduced risk of complications or infections
  • Less bleeding (and hence fewer transfusions)
  • Speedier return to leading a normal life

Side Effects

Some complications related to esophageal surgery are common to other forms of surgery including but not limited to:

  • Stroke and heart attack (while the operation is in progress)
  • Shortness of breath
  • Anastomotic leaking (low blood pressure, vomiting, surgical wound drainage, increased heart rate, and so on)
  • Bleeding
  • Pulmonary embolism

Complications or risks particularly associated with esophagogastrectomy (which are somewhat rare) include:

  • Acute chest infection
  • Pulmonary complications, particularly pneumonia
  • An injury or wound to the adjacent organs during the operation
  • Leakage at the junction of the conjoined stomach and esophagus

Precautions

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The surgeon who will operate will spell out the risks about the surgery as well as the preparations and precautions you to need to take before, after and during the procedure. You’ll have to quit smoking altogether at least before the surgery and possibly afterward as well. You’ll have to abide by the instructions specified by your surgeon once you’re discharged from the hospital.

The precautions that you’ll need to take will revolve around your diets, medications, clothing, personal accessories, and lifestyle.

Prognosis

The quality of life of most patients improves post-surgery, but some complications linger on. Follow-up care in the form of pain management, lung therapy, psychosocial care, and nutritional evaluations are highly recommended by the medic to keep the complications or risks at bay.

Concluding Remarks

Minimally invasive esophagectomy or esophagogastrectomy is evidentially the best form of surgical treatment for patients with esophageal cancer. If you or somebody close to you has been diagnosed with neoplasm of the esophagus, you can contact us to make an appointment with our general surgeon for a consultation.

References

  1. https://www.uwhealth.org/healthfacts/surgery/4281.pdf
  2. https://www.cancer.org/cancer/esophagus-cancer/treating/surgery.html
  3. https://www.ariahealth.org/programs-and-services/surgery/general-surgery/surgery-for-esophagus
  4. https://www.cancercenter.com/esophageal-cancer/surgery/
  5. https://www.healthline.com/health/esophagectomy-open#postsurgery
  6. https://www.cancercenter.com/esophageal-cancer/da-vinci-surgical-system/
  7. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4283863/
  8. https://www.mayoclinic.org/tests-procedures/esophagectomy/about/pac-20385084
  9. https://www.uwhealth.org/healthfacts/surgery/4281.pdf
  10. https://www.urmc.rochester.edu/encyclopedia/content.aspx?contenttypeid=134&contentid=154