Minimally invasive oesophagectomy: the Ivor Lewis approach.
Oesophagectomy is a challenging operation involving multiple body cavities. The traditional open approach has several described techniques. The Ivor Lewis approach is one of the most commonly utilized approaches and includes a laparotomy and a thoracotomy. Traditionally, this has resulted in some morbidity. This article describes a stepwise approach to a minimally invasive Ivor Lewis oesophagectomy including laparoscopic mobilization of the stomach, formation of the gastric conduit, placement of a feeding jejunostomy tube, thoracoscopic oesophageal mobilization and resection and a stapled oesophago-gastric anastomosis. Common pitfalls and technical insights will be presented.
Division of Thoracic Surgery, Brigham and Women's Hospital, Boston, MA, USA.
Jon O
JO
Wee
D000714:Anastomosis, Surgical / Q000379:methods; D016629:Esophagectomy / Q000379:methods*; D004947:Esophagus / Q000601:surgery*; D006801:Humans; D010535:Laparoscopy / Q000379:methods*; D017063:Outcome Assessment, Health Care; D013270:Stomach / Q000601:surgery*; D013906:Thoracoscopy / Q000379:methods*
Ivor Lewis; Laparoscopic; Minimally invasive; Oesophagectomy; Thoracoscopic