Case report
Minimally invasive Ivor Lewis esophagectomy

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Abstract

Ivor Lewis esophagectomy consists of a laparotomy and right thoracotomy for resection of the intrathoracic esophagus. Recent advances in minimally invasive surgical technology have allowed surgeons to apply laparoscopy and thoracoscopy to perform esophagectomy. However, there have been few reports that describe a totally minimally invasive Ivor Lewis esophagectomy. We present a case of combined laparoscopic and thoracoscopic resection of the distal third esophagus with an intrathoracic esophagogastric reconstruction for esophageal carcinoma.

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Comment

Ivor Lewis esophagectomy consists of a laparotomy and right thoracotomy for resection of the esophagus with an intrathoracic esophagogastric reconstruction [2]. Advantages of this technique are the ability to perform a complete mediastinal lymphadenectomy and a good exposure of the mediastinal esophagus to obtain surgical hemostasis. In addition, a wide resection of the gastric cardia is possible, because the anastomosis is performed in the right chest. Disadvantages of the Ivor Lewis approach

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