Laparoscopic and Thoracoscopic Esophagectomy with EEA Anastomosis

  • R. Taylor RipleyEmail author
  • David D. Odell
  • James D. Luketich


Minimally invasive esophagectomy (MIE) is now an accepted surgical approach for esophageal malignancy and the occasional benign conditions. Meta-analyses evaluating the results of MIE have shown improved perioperative outcomes and similar oncologic outcomes when compared to open esophagectomy with the advantages of minimally invasive surgery. MIE techniques are now a combination of laparoscopy and thoracoscopy for a totally minimally invasive esophagectomy. While this approach is technically demanding and associated with a significant learning curve, it is an excellent option for esophageal resection. In our experience, MIE is associated with a reduction in blood loss, decreased respiratory complications, lower mortality, improved pain control, and a decrease in hospital length of stay.


Recurrent Laryngeal Nerve Staple Line Minimally Invasive Esophagectomy Short Gastric Vessel Gastric Conduit 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

Supplementary material

Video 11.1

Creation of a thoracoscopic esophagogastric anastomosis using an EEA stapler (WMV 349930 kb)


  1. 1.
    Bizekis C, Kent MS, Luketich JD, et al. Initial experience with minimally invasive Ivor Lewis esophagectomy. Ann Thorac Surg. 2006;82:402–6; discussion 406–7.PubMedCrossRefGoogle Scholar
  2. 2.
    Luketich JD, Alvelo-Rivera M, Buenaventura PO, et al. Minimally invasive esophagectomy: outcomes in 222 patients. Ann Surg. 2003;238:486–94; discussion 494–5.PubMedCentralPubMedGoogle Scholar
  3. 3.
    Luketich JD, Nguyen NT, Weigel T, et al. Minimally invasive approach to esophagectomy. JSLS. 1998;2:243–7.PubMedCentralPubMedGoogle Scholar
  4. 4.
    Luketich JD, Pennathur A, Awais O, et al. Outcomes after minimally invasive esophagectomy: review of over 1000 patients. Ann Surg. 2012;256:95–103.PubMedCentralPubMedCrossRefGoogle Scholar
  5. 5.
    Luketich JD, Schauer PR, Christie NA, et al. Minimally invasive esophagectomy. Ann Thorac Surg. 2000;70:906–11; discussion 911–2.PubMedCrossRefGoogle Scholar
  6. 6.
    Pennathur A, Luketich JD, Landreneau RJ, et al. Long-term results of a phase II trial of neoadjuvant chemotherapy followed by esophagectomy for locally advanced esophageal neoplasm. Ann Thorac Surg. 2008;85:1930–6; discussion 1936–7.PubMedCrossRefGoogle Scholar

Copyright information

© Springer International Publishing Switzerland 2015

Authors and Affiliations

  • R. Taylor Ripley
    • 1
    Email author
  • David D. Odell
    • 2
  • James D. Luketich
    • 2
  1. 1.Division of Thoracic SurgeryMemorial Sloan-Kettering Cancer CenterNew YorkUSA
  2. 2.Department of Cardiothoracic SurgeryUniversity of Pittsburgh Medical Center, UPMC PresbyterianPittsburghUSA

Personalised recommendations