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EMIS Frequently Asked Questions about Cancer Surgery
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| Q |
 Is it a good operation for cancer? |
| Answer | The operation we provide is identical the method we would employ for open oesophagectomy, but done through minute incisions. Professor Luketich’s series supports this statement |
| Q |
What are the complications? |
| Answer | The potential complications are essentially the same as for an open oesophagectomy, but we are seeing much less of them, and not as severe. |
| Q |
I have been referred for an oesophagectomy, but would like to have it done by keyhole surgery |
| Answer | Currently we are the only centre in the UK providing this operation. You have the right to request that you be referred to another cancer centre if your own one does not provide the service you require. |
| Q |
Can I ask to be referred to a specific centre? |
| Answer | Yes, if you feel that a certain, designated cancer centre can provide a better service than the one you have been referred to (such as keyhole surgery), then you may request your GP or existing centre to refer you for this specialist treatment. Following this, further follow-up can be done either locally or at that unit as you desire.
With increasing patient choice, it is expected that patients will now exercise their right to get the best treatment available for their condition.
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| Q |
What is so special about these centres? |
| Answer | Designated Upper GI cancer centres have the multi-disciplinary expertise and experience, as well as the facilities to provide treatment and care on all aspects of the disease. The management of complex cancers is no longer based on the knowledge of an individual surgeon or doctor, but on the collective experience of several experts (consultants) in their respective fields. All patients who have had the diagnosis of an upper GI cancer are discussed in detail by a panel of consultants at designated meetings (multi-disciplinary team meetings, MDT’s) where all the relevant details and results of investigations are available. For upper GI cancers, this panel consists of Upper GI surgeons, gastroenterologists, oncologists, radiologists and pathologists, all of who have a special interest in oesophageal and gastric cancer. In this way, the very best treatment option for any individual patient is made available. In addition, these units will have the presence of a clinical nurse specialise (CNS) whose specific duty is to liase directly with patients, providing the first port of call for all queries and problems. This person is fundamental to providing a first-class service in the management of this disease. The CNS will also put patients in touch with patient and support groups to help provide the mental, psychological and social support that affected patients will require before, during and after their treatment. |
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