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Review
. 2016 Nov 7:2:165.
doi: 10.21037/jovs.2016.10.03. eCollection 2016.

Minimally invasive Ivor Lewis esophagectomy for esophageal cancer

Hyun Woo Jeon  1 , Sook Whan Sung  2
Affiliations
Review

Minimally invasive Ivor Lewis esophagectomy for esophageal cancer

Hyun Woo Jeon et al. J Vis Surg. .

Abstract

Esophageal cancer is the malignant tumor arising from the esophagus and has a poor prognosis. Squamous cell carcinoma and adenocarcinoma are the main subtypes of esophageal cancer with different risk factors. In the early stage, surgical resection is the most curative treatment modality. However, the procedure is considered an advanced and technically demanding surgery because esophageal cancer surgery includes esophagectomy, lymph node dissection, and a creation of esophageal conduit. Stomach is the commonest organ for the esophageal substitute. In open procedures, pulmonary complications and anastomotic failure are the most severe problems. Minimally invasive esophagectomy (MIE) has been introduced to decrease the postoperative pulmonary complications, but anastomotic failure remains a serious issue because of the extra-anatomical anastomosis between the esophagus and the conduit in the thorax or the neck.

Keywords: Esophageal cancer; Ivor Lewis esophagectomy; minimally invasive surgery.

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Conflict of interest statement

Conflicts of Interest: The authors have no conflicts of interest to declare.

Figures

Figure 1
Figure 1
Laparoscopic gastric tubing (4). Available online: http://www.asvide.com/articles/1208
Figure 2
Figure 2
VATS Ivor Lewis operation (6). Available online: http://www.asvide.com/articles/1209
Figure 3
Figure 3
Utility incisions with four ports on the right sided chest.
Figure 4
Figure 4
Thoracoscopic Ivor Lewis procedures.
See this image and copyright information in PMC

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