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Updated: Jun 8, 2025

An Ivor Lewis Esophagectomy Designed to Minimize Anastomotic Complications and Optimize Conduit Function
Published on: April 17, 2020
Early diagnostic endoscopy and prophylactic stenting after robotic transthoracic esophagectomy - From skepticism to
Álvaro Cerezuela Fernández de Palencia1, David Ruiz de Angulo Martín1, Vicente Munitiz Ruiz1
1Cirugía General y del Aparato Digestivo, Hospital Clínico Universitario Virgen de la Arrixaca, Spain.
Abstract:
Dehiscence following esophagectomy for cancer has a mortality rate of 10-40%, prolongs hospital stay, and reduces survival. To prevent it, proper patient selection and surgical techniques that minimize tension and ischemia are essential. Procedures such as ERAS protocols and the use of indocyanine green have improved the detection of well-vascularized areas, but the leak rate still exceeds 10%. In a series of 12 patients who underwent robotic esophagectomy, 45.4% received a prophylactic stent. These patients had a mean hospital stay of 16 days, compared to 53.5 days for those who experienced dehiscence. Early endoscopy and the placement of a prophylactic stent proved to be safe and effective in reducing complications.
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