Related Experiment Video
Updated: Jan 15, 2026

An Ivor Lewis Esophagectomy Designed to Minimize Anastomotic Complications and Optimize Conduit Function
Published on: April 17, 2020
Creating a Straight Conduit: The Pleural Closure Technique in Ivor Lewis Esophagectomy
Ethyn G Loreno1, Mahnoor Zia1, Ray Chihara1
1Surgery, Houston Methodist Hospital, Houston, USA.
Abstract:
Ivor Lewis esophagectomy, a surgical procedure to treat esophageal cancer, requires gastric conduit creation with an intrathoracic anastomosis. Frequently encountered conduit complications include conduit redundancy, herniation, and dreaded complications of necrosis and anastomotic leak. We present the case of a 71-year-old male with esophageal cancer who underwent robot-assisted laparoscopic and thoracoscopic Ivor Lewis esophagectomy with total portal robotic linear stapled anastomosis with the omentum at the anastomosis and pleural closure. On postoperative imaging, the patient had a straight gastric conduit without redundancy or anastomotic leak. He had excellent long-term clinical outcomes without significant dysphagia and reflux. Pleural closure during robotic Ivor Lewis esophagectomy may aid in achieving excellent functional outcomes.
Related Concept Videos
Esophageal Perforation-I: Introduction
The location of esophageal perforation can vary, occurring anywhere along the esophagus....
Tracheostomy: Procedure and Tubes
Tracheostomy tubes can be made of semiflexible plastic (polyurethane or silicone), rigid plastic, or metal, and they come in...
Tracheostomy Decannulation
Description of the Procedure
Decannulation refers to the permanent removal of the tracheostomy tube, signaling the resolution of the condition that initially necessitated the tracheostomy. The process requires a well-coordinated interplay between...
Esophageal Perforation-II: Clinical Manifestations and Management
Clinical Manifestations:
Cardiopulmonary Resuscitation V: Advanced Airway Management Techniques
Esophageal Strictures-I: Introduction
Etiology
The primary cause of esophageal strictures is long-standing gastroesophageal reflux disease (GERD), accounting for about 70 to 80% of adult cases. Chronic acid reflux can lead to injury and scarring of the esophageal lining, culminating in...

