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Updated: Jan 12, 2026

An Ivor Lewis Esophagectomy Designed to Minimize Anastomotic Complications and Optimize Conduit Function
Published on: April 17, 2020
Fully robotic Ivor Lewis Esophagectomy with side - to - side linear stapled anastomosis: our standardized 15 - step
Giuseppe Giuliani1, Francesco Guerra1, Angela Tribuzi1
1Department of General Surgery, Emergency Surgery and Gastroenterological Diseases, Misericordia Hospital, Grosseto, Italy.
Backgraund:
In recent years, robotic surgery for the treatment of esophageal cancer has expanded rapidly. In this study, we report on our standardized steps for RILE, including our perioperative outcomes.
Methods:
The study includes every single step that we systematically perform during the abdominal and thoracic phases of the RILE. All consecutive patients undergoing RILE by a single surgical team were included in this analysis.
Results:
A total of 68 patients were included in the analysis. There was one intraoperative complication and no conversion occurred. The rate of major postoperative complications (Clavien and Dindo > II) was 14 %: with anastomotic-related morbidity in particular, 4 (6 %) patients developed anastomotic leakage. The median number of harvested lymph nodes was 41 (range 13-113), while the rate of R0 resection was 97 %.
Conclusions:
In our opinion our standardisation of RILE could help new surgical teams to start using a robotic approach for two field esophagectomy.
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