Abstract
Minimally invasive esophagectomy (MIE) is an excellent treatment option in appropriately selected patients with benign or malignant esophagogastric pathology. For malignant disease, preoperative workup should include upper endoscopy with biopsy, endoscopic esophageal ultrasound, computed tomography scan of the chest and abdomen, and positron emission tomography. Our preferred technique for MIE is the laparoscopic and thoracoscopic Ivor Lewis esophagogastrectomy. This operation consists of laparoscopic gastric mobilization, construction of the gastric conduit to follow by thoracoscopic esophageal mobilization, resection of the esophageal specimen, and construction of a thoracoscopic esophagogastric anastomosis. MIE is safe, provides good oncologic outcomes, and advantages of the minimally invasive approach. Low perioperative mortality (<5%) can be achieved at centers performing high surgical volume.
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Kawahara K, Maekawa T, Okabayashi K, et al. Video-assisted thoracoscopic esophagectomy for esophageal cancer. Surg Endosc. 1999;13:218–23.
Luketich JD, Alvelo-Rivera M, Buenaventura PO, et al. Minimally invasive esophagectomy: outcomes in 222 patients. Ann Surg. 2003;238:486–95.
Nguyen NT, Follette DM, Wolfe BM, Schneider PD, Roberts P, Goodnight Jr JE. Comparison of minimally invasive esophagectomy with transthoracic and transhiatal esophagectomy. Arch Surg. 2000;135:920–5.
Nguyen NT, Roberts P, Follette DM, et al. Thoracoscopic and laparoscopic esophagectomy for benign and malignant disease: lessons learned from 46 consecutive procedures. J Am Coll Surg. 2003;197:902–13.
Nguyen NT, Longoria M, Sabio A, et al. Preoperative laparoscopic ligation of the left gastric vessels in preparation for esophagectomy. Ann Thorac Surg. 2006a;81:2318–20.
Nguyen NT, Longoria M, Chang K, et al. Thoracolaparoscopic modification of the Ivor Lewis esophagogastrectomy. J Gastrointest Surg. 2006b;10:450–4.
Nguyen NT, Hinojosa MW, Smith BR, Chang KJ, Gray J, Hoyt D. Minimally invasive esophagectomy: lessons learned from 104 operations. Ann Surg. 2008;248(6):1081–91.
Varela E, Reavis KM, Hinojosa MW, Nguyen NT. Laparoscopic gastric ischemic conditioning prior to esophagogastrectomy: technique and review. Surg Innov. 2008;15(2):132–5.
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© 2012 Springer Science+Business Media, LLC
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Nguyen, N.T., Varela, E. (2012). 13. Minimally Invasive Esophagectomy. In: Nguyen, N., Scott-Conner, C. (eds) The SAGES Manual. Springer, New York, NY. https://doi.org/10.1007/978-1-4614-2347-8_13
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DOI: https://doi.org/10.1007/978-1-4614-2347-8_13
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