Esophageal Surgery
Specialty
Esophageal
Surgery
Expert surgical care for esophageal cancer and benign conditions, delivered through minimally invasive and robot-assisted approaches by board-certified esophageal surgeons.
Primary Condition
Esophageal Cancer & Benign Diseases
Expertise
Function-Preserving & Oncological Surgery
What We Treat
Conditions We Treat
Our esophageal surgery team manages all stages of esophageal disease,
from early-stage endoscopic cases to complex multidisciplinary oncological care.
01 · Primary
Esophageal Cancer
We treat all stages of esophageal cancer — squamous cell carcinoma, adenocarcinoma, and superficial lesions. Treatment is tailored to disease stage and patient condition, combining surgery, chemotherapy, and radiation as needed.
02 · Junction
Esophagogastric Junction Cancer
Cancers at the border of the esophagus and stomach are managed in close collaboration with the Gastric Surgery team to optimise the surgical approach and oncological outcome.
03 · Head & Neck
Cervical Esophageal Cancer
We specialise in larynx-preserving surgery for cervical esophageal cancer, minimising the risk of permanent voice loss wherever oncologically safe to do so.
04 · Early-Stage
Superficial Esophageal Cancer and Head and Neck Cancer
Early esophageal lesions are managed endoscopically using ESD, EMR, ELPS, and APC techniques. We also perform combined endoscopic screening for esophageal and head/neck cancers.
Our Approach
Minimally Invasiveas the Standard
Every surgical technique we employ is chosen to maximise cure while minimising the physical burden on the patient. For most patients, minimally invasive surgery is our default.
Thoracoscopic & Laparoscopic Surgery
Minimally invasive esophagectomy using thoracoscopy and laparoscopy is our standard technique, performed by surgeons certified by the Japan Society for Endoscopic Surgery.
Robot-Assisted Surgery
Robot-assisted esophagectomy offers enhanced precision and dexterity in the narrow thoracic cavity. Our surgeons are certified proctors for robotic esophageal surgery.
Mediastinoscopic Surgery
For patients with limited pulmonary function or other comorbidities, a non-thoracotomy mediastinoscopic approach enables curative surgery with a reduced physiological burden.
Early Post-operative Oral Intake
We use transnasal endoscopy to safely confirm anastomotic healing, allowing most patients to resume eating earlier and shortening the period of post-operative nutritional restriction.
Multimodal Treatmentfor Advanced Cancer
For esophageal cancers with suspected lymph node involvement — which can spread across the cervical, thoracic, and abdominal regions — surgery alone is often insufficient. We offer a multidisciplinary approach combining:
Neoadjuvant chemotherapy (pre-operative) reduces tumour burden before surgery. Definitive chemoradiotherapy may be considered for unresectable cases. Conversion surgery following successful systemic therapy is also available within our clinical trial framework.
For Patients
Your Care Pathway
We work closely with referring physicians to provide timely, coordinated care. Most patients come to us via physician referral.
01
Referral
Obtain a referral letter from your physician including diagnosis and recent imaging or endoscopy results.
02
Appointment
Contact the Regional Medical Cooperation Office to schedule your first consultation. Translation support is available.
03
Assessment
Our surgical team reviews your case with imaging, endoscopy, and pathology to determine the optimal treatment strategy.
04
Treatment
A personalised treatment plan — surgery, chemotherapy, or a combined approach — is discussed and agreed with you.
Referring a Patient?
We welcome referrals from physicians across Japan and internationally. Please contact our Regional Medical Cooperation Office for consultation requests and patient transfers. Our team is happy to discuss complex cases ahead of formal referral.