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Updated: Aug 4, 2026

An Ivor Lewis Esophagectomy Designed to Minimize Anastomotic Complications and Optimize Conduit Function
Published on: April 17, 2020
Modified pharyngogastrostomy by a stapler technique
R A A Sallum1, F J F Coimbra, P Herman
1Head of the Esophagus Section of the Abdominal Surgery Department of Hospital do Câncer A C Camargo, São Paulo, Brazil.
Abstract:
Pharyngolaryngoesophagectomy is the gold standard treatment for the majority of larynx, pharynx and cervical esophagus advanced tumours. Reconstruction of these pharyngoesophageal defects is complex, and implicates additional time, morbity and mortality to the procedure. Gastric pull up and pharyngogastrostomy with hand sewing technique is the commonest way of doing it. The authors describe a modified technique to execute it using a stapler device.
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