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Two team synchronous esophagectomy.

S C Chung¹, S M Griffin, S D Wood

¹Department of Surgery, Prince of Wales Hospital, Hong Kong, Shatin, N.T.

Surgery, Gynecology & Obstetrics

|January 1, 1990

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This study presents a modified Lewis esophagectomy using a synchronous two-team approach for intrathoracic esophageal cancer. This technique may reduce operating time and improve patient outcomes.

Area of Science:

Surgical Oncology
Thoracic Surgery
Gastrointestinal Surgery

Background:

Esophageal cancer treatment often requires esophagectomy, a complex procedure.
Traditional esophagectomy techniques can involve patient repositioning and long operating times.

Purpose of the Study:

To describe a modified Lewis esophagectomy technique.
To evaluate the safety and efficacy of a synchronous two-team approach for esophagectomy.

Main Methods:

A modified Lewis esophagectomy was performed in 50 patients.
The procedure utilized a semilateral patient position with simultaneous abdominal and thoracic surgical teams.
Esophagogastric anastomosis was achieved using stapling at the thoracic apex.

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Main Results:

The modified procedure was performed on 50 patients.
Two cases of anastomotic leaks and one in-hospital death were recorded.
The synchronous approach potentially reduces operating time and patient repositioning.

Conclusions:

The modified Lewis esophagectomy with a synchronous two-team approach is a viable option for intrathoracic esophageal cancer.
This technique may lead to reduced morbidity and shorter operative times.
Further research is warranted to confirm the benefits in larger patient cohorts.