Laparoscopic and thoracoscopic Ivor Lewis esophagectomy with colonic interposition.

Nguyen, T Ninh; Hinojosa, Marcelo; Fayad, Christine; Gray, James; Murrell, Zuri; Stamos, Michael · Ann Thorac Surg · 2007

case_report · Level V

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Abstract

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.

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