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Updated: Jul 14, 2026
09:40
An Ivor Lewis Esophagectomy Designed to Minimize Anastomotic Complications and Optimize Conduit Function
Published on: April 17, 2020
Totally endoscopic Ivor Lewis esophagectomy
D I Watson1, N Davies, G G Jamieson
1The Royal Adelaide Centre for Endoscopic Surgery, Department of Surgery, Royal Adelaide Hospital, Adelaide, South Australia, 5000, Australia.
Surgical Endoscopy
|March 5, 1999
Summary
Minimally invasive esophagectomy using laparoscopic and thoracoscopic techniques may reduce recovery time for esophageal cancer patients. This approach shows promise for improving outcomes after esophagectomy.
Area of Science:
- Surgical Oncology
- Minimally Invasive Surgery
- Gastrointestinal Surgery
Background:
- Esophagectomy carries high risks of complications and lengthy recovery.
- Conventional surgical incisions contribute to patient morbidity.
- Palliative esophagectomy for esophageal cancer necessitates improved outcomes.
Purpose of the Study:
- To describe a novel minimally invasive Ivor Lewis esophagectomy technique.
- To evaluate the feasibility and initial outcomes of this new approach.
- To determine if laparoscopic techniques can enhance patient recovery.
Main Methods:
- A new Ivor Lewis esophagectomy technique combining hand-assisted laparoscopy and thoracoscopy.
- Laparoscopic approach for gastric mobilization.
- Thoracoscopic approach for esophageal dissection and anastomosis.
Main Results:
- Initial experience with two patients demonstrated encouraging results.
- Shortened postoperative hospital stay observed.
- Convalescence period was reduced compared to conventional methods.
Conclusions:
- The described hand-assisted laparoscopic and thoracoscopic esophagectomy is a promising technique.
- Minimally invasive approaches may improve postoperative outcomes for esophagectomy.
- This technique could make esophagectomy more acceptable for esophageal cancer patients.
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