Total Portal Robotic Linear Stapled Anastomosis During Robot-Assisted Ivor Lewis Esophagectomy

There are several options for intrathoracic esophagogastric anastomosis during Ivor Lewis esophagectomy. These include end-to-end stapled anastomosis, handsewn anastomosis, and stapled anastomosis. We present the case of an 84-year-old man with benign esophageal stricture who underwent robot-assisted laparoscopic and thoracoscopic Ivor Lewis esophagectomy with a total portal robotic linear stapled anastomosis that allowed intrathoracic esophagogastric anastomosis creation entirely using the robotic platform. This technique alleviates the need for a skilled bedside assistant and further demonstrates the convenience, maneuverability, and dexterity of the robotic platform.