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Updated: Aug 8, 2026
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An Ivor Lewis Esophagectomy Designed to Minimize Anastomotic Complications and Optimize Conduit Function
Published on: April 17, 2020
Laparoscopic side-to-side esophagogastrostomy using a linear stapler after proximal gastrectomy
1Department of Surgery, Fujita Health University, School of Medicine, 1-98 Dengakugakubo, Kutsukake-cho, Toyoake, Aichi 470-1192, Japan.
Summary
Laparoscopic side-to-side esophagogastrostomy after proximal gastrectomy offers a less invasive option for gastric cancer patients. This technique resulted in excellent recovery with minimal pain and no reflux esophagitis, improving patient quality of life.
Area of Science:
- Surgical Oncology
- Gastrointestinal Surgery
- Minimally Invasive Procedures
Background:
- Proximal gastric cancer necessitates complex anastomotic procedures.
- Traditional end-to-side anastomosis can be challenging and lead to complications.
- Improving postoperative quality of life is a key goal in gastric cancer surgery.
Purpose of the Study:
- To evaluate the feasibility and outcomes of laparoscopic side-to-side esophagogastrostomy using a linear stapler.
- To compare this technique with traditional end-to-side anastomosis for upper third gastric cancer.
Main Methods:
- Laparoscopic proximal gastrectomy followed by side-to-side esophagogastrostomy with a linear stapler was performed in two patients.
- Postoperative outcomes, including pain, analgesic use, and reflux esophagitis, were monitored.
Main Results:
- Both patients experienced excellent postoperative courses with minimal pain and no need for analgesics.
- No instances of reflux esophagitis were reported.
- The procedure was technically feasible and well-tolerated.
Conclusions:
- Laparoscopic side-to-side esophagogastrostomy is a technically feasible and effective option for gastric cancer in the upper third of the stomach.
- This approach offers a less involved anastomosis and improved postoperative quality of life compared to end-to-side methods.
