Modified Nissen fundoplication combined with Ivor Lewis esophagogastrectomy.
Esophageal carcinoma is a difficult neoplasm to treat, with a reported overall 5-year survival of about 15%. The role of chemotherapy and radiation has yet to be defined, making surgical resection the standard treatment. Postoperative esophageal leak remains a significant contributor to morbidity and mortality, especially after an intrathoracic anastomosis. We propose a modification of the Ivor Lewis esophagogastrectomy that has resulted in two anastomotic leaks in a series of more than 500 patients.
Russell
Maria C
MC
Subsection of General Thoracic Surgery, Division of Cardiothoracic Surgery, Emory University School of Medicine, Atlanta, Georgia, USA. maria.russell@emoryhealthcare.org
Thourani
Vinod H
VH
Miller
Joseph I
JI
D000714:Anastomosis, Surgical; D004938:Esophageal Neoplasms / Q000601:surgery*; D016629:Esophagectomy / Q000379:methods*; D018662:Fundoplication / Q000379:methods*; D005743:Gastrectomy / Q000379:methods*; D006801:Humans