Laparoscopic and thoracoscopic Ivor Lewis esophagectomy with colonic interposition.
Minimally invasive esophagectomy is a feasible and safe alternative to open esophagectomy. The stomach is the preferred conduit for gastrointestinal reconstruction after esophagogastrectomy; however, if the stomach is not usable, the colon can be interposed as an alternative conduit. We describe the technique of minimally invasive Ivor Lewis esophagogastrectomy in a patient with a gastric cardia cancer involving the gastric body and distal esophagus. Laparoscopic colonic interposition using the right colon based on the middle colic vessels was used to restore gastrointestinal continuity.
Department of Surgery, University of California Irvine Medical Center, Orange, California, USA. ninhn@uci.edu
T Ninh
TN
Nguyen
Marcelo
M
Hinojosa
Christine
C
Fayad
James
J
Gray
Zuri
Z
Murrell
Michael
M
Stamos
D000328:Adult; D003106:Colon / Q000601:surgery*; D004938:Esophageal Neoplasms / Q000601:surgery; D016629:Esophagectomy / Q000379:methods*; D005743:Gastrectomy / Q000379:methods*; D006801:Humans; D010535:Laparoscopy / Q000379:methods*; D008297:Male; D019060:Minimally Invasive Surgical Procedures; D013274:Stomach Neoplasms / Q000601:surgery; D013906:Thoracoscopy / Q000379:methods*