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©The Author(s) 2025. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Gastrointest Surg. Oct 27, 2025; 17(10): 107741
Published online Oct 27, 2025. doi: 10.4240/wjgs.v17.i10.107741
Published online Oct 27, 2025. doi: 10.4240/wjgs.v17.i10.107741
Assessment of the status of micrometastasis and tumor spillage among the patients undergoing thoracoscopic esophagectomy for carcinoma esophagus
Ankit Shukla, Department of Surgery, Dr Rajendra Prasad Government Medical College, Kangra 176001, Himachal Pradesh, India
Raja Kalayarasan, Biju Pottakkat, Department of Surgical Gastroenterology, Jawaharlal Institute of Postgraduate Medical Education and Research, Puducherry 605006, India
Debasis Gochhait, Department of Pathology, Jawaharlal Institute of Postgraduate Medical Education and Research, Puducherry 605006, India
Kotteyan Thazhath Harichandrakumar, Department of Biostatistics, Jawaharlal Institute of Postgraduate Medical Education and Research, Puducherry 605006, India
Co-corresponding authors: Ankit Shukla and Raja Kalayarasan.
Author contributions: Shukla A and Kalayarasan R conceptualized the work and made equal contributions as co-corresponding authors; Shukla A wrote the first draft of the review; Gochhait D, Harichandrakuma KT, and Pottakkat B supervised the writing and gave intellectual inputs. All the authors did the literature search, critically revised the manuscript, and approved the final version.
Institutional review board statement: This study was approved by Institutional Ethics Committee of Jawaharlal Institute of Postgraduate Medical Education and Research, No. JIP/IEC/2021/243.
Informed consent statement: Written informed consent was obtained from all participants.
Conflict-of-interest statement: All the authors report no relevant conflicts of interest for this article.
STROBE statement: The authors have read the STROBE Statement-checklist of items, and the manuscript was prepared and revised according to the STROBE Statement-checklist of items.
Data sharing statement: Data can be reasonably requested from the corresponding author by email.
Open Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: https://creativecommons.org/Licenses/by-nc/4.0/
Corresponding author: Ankit Shukla, Assistant Professor, Department of Surgery, Dr Rajendra Prasad Government Medical College, Tanda, Kangra 176001, Himachal Pradesh, India.
Received: March 31, 2025
Revised: May 10, 2025
Accepted: August 12, 2025
Published online: October 27, 2025
Processing time: 210 Days and 6.7 Hours
Revised: May 10, 2025
Accepted: August 12, 2025
Published online: October 27, 2025
Processing time: 210 Days and 6.7 Hours
Core Tip
Core Tip: In carcinoma lung and stomach, presence of micrometastasis or spread of tumor cell after surgery has shown to predict recurrence and poor prognosis. Hence, a routine intraoperative pleural and peritoneal lavage is advocated. Similarly, spread of tumor cell esophagectomy or presence of occult micrometastatic disease in esophageal carcinoma may have detrimental effects leading to recurrence and poor prognosis. The role of routine pleural lavage to detect micrometastasis and tumor spillage is not well established in carcinoma esophagus. It is important to identify such high-risk patients to formulate strategies to prevent tumor spillage and plan management.