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Related Experiment Video

Updated: May 20, 2026

An Ivor Lewis Esophagectomy Designed to Minimize Anastomotic Complications and Optimize Conduit Function
09:40

An Ivor Lewis Esophagectomy Designed to Minimize Anastomotic Complications and Optimize Conduit Function

Published on: April 17, 2020

Open and laparoscopically assisted oesophagectomy: a prospective comparative study.

Lucy Bailey1, Omar Khan, Elizabeth Willows

  • 1Department of Upper GI Surgery, Queen Alexandra Hospital, Portsmouth, UK.

European Journal of Cardio-Thoracic Surgery : Official Journal of the European Association for Cardio-Thoracic Surgery
|July 4, 2012
PubMed
Summary

Laparoscopically assisted oesophagectomy (LAO) is feasible for all patients undergoing esophageal cancer resection. This minimally invasive approach reduces complications and hospital stays compared to open surgery, with similar long-term survival.

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Area of Science:

  • Surgical Oncology
  • Minimally Invasive Surgery
  • Gastrointestinal Surgery

Background:

  • Minimally invasive oesophagectomy has shown promise but is often limited to selected patients.
  • Long-term follow-up data for minimally invasive oesophagectomy is scarce.
  • Assessing the feasibility and outcomes of a standardized minimally invasive approach for all patients is crucial.

Purpose of the Study:

  • To evaluate the feasibility of performing laparoscopically assisted oesophagectomy (LAO) for all referred patients.
  • To compare short- and long-term clinical and oncological outcomes of LAO versus open surgery.
  • To determine if LAO can be safely applied to an unselected patient cohort.

Main Methods:

  • A prospective study comparing 39 consecutive LAO patients with 31 preceding open surgery patients.

Related Experiment Videos

Last Updated: May 20, 2026

An Ivor Lewis Esophagectomy Designed to Minimize Anastomotic Complications and Optimize Conduit Function
09:40

An Ivor Lewis Esophagectomy Designed to Minimize Anastomotic Complications and Optimize Conduit Function

Published on: April 17, 2020

  • LAO involved laparoscopic mobilization of the stomach and distal esophagus, followed by open thoracotomy.
  • Clinical, oncological, and survival outcomes were analyzed and compared between the two groups.

    • Main Results:

    • LAO was successfully completed in 37 out of 39 cases (95%).
    • LAO demonstrated a significantly lower incidence of postoperative complications (54% vs. 77%) compared to open surgery.
    • LAO resulted in shorter intensive care unit (2 vs. 4 days) and hospital stays (14 vs. 18 days).
    • Pathological outcomes (lymph node yield, R0 resection) and 1-year survival rates were comparable between LAO and open surgery.

    Conclusions:

    • Laparoscopically assisted oesophagectomy (LAO) is a feasible approach for unselected patients with esophageal cancer.
    • LAO offers a reduced postoperative complication rate compared to traditional open surgery.
    • Oncological outcomes and long-term survival are comparable between LAO and open surgery, supporting its wider adoption.