Abstract
Minimally invasive esophagectomy has been shown to have decreased morbidity than traditional, open esophagectomy. Minimally invasive Ivor Lewis esophagectomy is the preferred operation for distal esophageal and gastroesophageal tumors at our institution. The gastric conduit is mobilized laparoscopically along with an omental tissue flap. A thorough lymph node dissection is performed at the base of the left gastric artery and celiac trunk. The intrathoracic portion of the operation is performed robotically, mobilizing the esophagus en bloc with all the posterior mediastinal lymphatic tissues. The anastomosis is made using a circular stapler at the level of the azygos vein, and an omental flap is used to buttress the anastomosis.
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Reference
Sarkaria IS, Rizk NP. Robotic-assisted minimally invasive esophagectomy: the Ivor Lewis approach. Thorac Surg Clin. 2014;24(2):211–22. https://doi.org/10.1016/j.thor-surg.2014.02.010. vii
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Kim, J., Raz, D. (2020). Minimally Invasive Ivor Lewis Esophagectomy. In: Kim, J., Garcia-Aguilar, J. (eds) Minimally Invasive Surgical Techniques for Cancers of the Gastrointestinal Tract. Springer, Cham. https://doi.org/10.1007/978-3-030-18740-8_2
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DOI: https://doi.org/10.1007/978-3-030-18740-8_2
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Publisher Name: Springer, Cham
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Online ISBN: 978-3-030-18740-8
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