Related Experiment Video
Updated: Jun 20, 2026

An Ivor Lewis Esophagectomy Designed to Minimize Anastomotic Complications and Optimize Conduit Function
Published on: April 17, 2020
Is esophagectomy the paradigm for volume-outcome relationships?
1Section of Thoracic and Esophageal Surgery, Swedish Cancer Institute and Medical Center, Seattle, WA 98105, USA. brian.louie@swedish.org
Introduction:
Esophagectomy is considered one of the most complicated, difficult to perform, and physiologically altering operations performed by surgeons.
Discussion:
Outcome, not only depends upon surgeon and hospital volume but also involves a "supporting cast" of health professionals, such as physical therapy and ICU. The complementary skill set of the surgeon may also influence esophagectomy outcomes.
Conclusions:
Young surgeons can perform esophagectomy with low mortality while their volume increases if they engage and involve all of the components in this paradigm.
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