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Updated: Oct 9, 2026

An Ivor Lewis Esophagectomy Designed to Minimize Anastomotic Complications and Optimize Conduit Function
Published on: April 17, 2020
[Results of stomach pull-through operations without thoracotomy in the treatment of advanced esophageal cancer]
Abstract:
Between 1960 and 1983 we have seen 525 cases of oesophagus carcinoma at the Surgical Dept. of the University of Düsseldorf. Up to 1980 we performed the thoraco-abdominal approach with a resection rate of 30%. After that we performed blind dissection of the oesophagus using the abdominal approach only and the resection rate increased to 75%. This last group of patients was treated preoperatively with 3000 R. In spite of very late cancer stages our operative mortality rate decreased considerably and the 2 year survival rate improved. We believe our method to be a standard one because there is a very bad long-term prognosis of the condition.
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