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Updated: Aug 15, 2026

An Ivor Lewis Esophagectomy Designed to Minimize Anastomotic Complications and Optimize Conduit Function
Published on: April 17, 2020
Laparoscopic gastrointestinal anastomoses
1Department of Surgery, University Hospital-Shaughnessy Site, University of British Columbia, Vancouver.
Abstract:
In a preliminary study of laparoscopic gastrointestinal anastomosis, a gastric outlet obstruction was created under laparoscopic control in six domestic pigs, weighing an average of 25 kg. A simultaneous gastroenterostomy was formed with an end-stapling device. All animals recovered clinically, and good anastomotic healing was documented 1 week postoperatively. The authors suggest that an end-stapling device could be one method of creating a gastrointestinal anastomosis for humans that is safe and reliable, allows rapid recovery and decreases hospital stay.
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