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.
Nguyen
T Ninh
TN
Department of Surgery, University of California Irvine Medical Center, Orange, California, USA. ninhn@uci.edu
Hinojosa
Marcelo
M
Fayad
Christine
C
Gray
James
J
Murrell
Zuri
Z
Stamos
Michael
M
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*