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Updated: Jun 17, 2026
An Ivor Lewis Esophagectomy Designed to Minimize Anastomotic Complications and Optimize Conduit Function
Published on: April 17, 2020
A Review of Linear Stapled-Sutured Intrathoracic Oesophago-Gastric Anastomosis by a Single Surgeon Over Three Decades
Matilda Anderson1,2, Enoch Wong1,2,3, Jan Goonawardena1,2,3
1Department of Upper Gastrointestinal and Hepato-Pancreato-Biliary Surgery, Box Hill Hospital, Eastern Health, Melbourne, Australia.
Abstract:
This paper describes the technique of performing an intrathoracic linear stapled/sutured anastomosis between the oesophagus and gastric conduit. It analyses the outcome from a single surgeon working at two co-located hospitals.
Method:
A retrospective review of prospectively collected data was performed. The study includes 188 operations performed by a single surgeon (ASH) between 1998 and 2025. The mortality and morbidity for the series are analyzed and the technique used is described.
Results:
The anastomotic leak rate for the 188 patients was found to be 3.2% with an inpatient mortality of 0.5% at 30 days and a mortality of 1.1% at 90 days. The overall stricture rate requiring dilatation was approximately 4.3%. These results from a low volume center compare favorably with international data.
Conclusion:
The linear stapled/sutured anastomotic technique is associated with a low anastomotic leak rate and mortality. The stricture rate is also low when compared to other series of oesophagectomy.
