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Ivor Lewis esophagectomy

M S Bains1

  • 1Cornell Medical Center, New York, New York, USA.

Chest Surgery Clinics of North America
|August 1, 1995
PubMed
Summary
This summary is machine-generated.

Lewis described a two-stage surgical technique for midthoracic esophageal cancer in 1946. This procedure, when performed in a single stage, remains a standard approach for resecting thoracic esophageal carcinoma.

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Area of Science:

  • Thoracic surgery
  • Surgical oncology
  • Esophageal cancer treatment

Background:

  • The surgical management of thoracic esophageal cancer has evolved significantly.
  • Historical techniques lay the groundwork for current standard procedures.

Purpose of the Study:

  • To highlight the enduring relevance of a specific surgical technique for esophageal cancer.
  • To underscore the historical development of one-stage versus two-stage esophageal resection.

Main Methods:

  • Review of historical surgical descriptions.
  • Analysis of the evolution of esophageal cancer resection techniques.

Main Results:

  • Lewis's 1946 description of a staged resection for midthoracic esophageal cancer.

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  • The adaptation of this procedure into a standard one-stage operation.
  • Conclusions:

    • The described surgical technique remains a cornerstone in the treatment of thoracic esophageal carcinoma.
    • Historical surgical innovations continue to influence contemporary oncologic practice.