Minimally Invasive Approach of Gastro-Esophageal Junction Cancer

  • Annelijn E. Slaman
  • Suzanne S. GisbertzEmail author
  • Mark I. van Berge Henegouwen
  • Miguel A. Cuesta


The short-term advantages of minimally invasive esophagectomy (MIE) in terms of less morbidity and better Quality of Life (QoL) in comparison with open esophagectomy (OE) became visible in the last few years. There are two main MIE approaches: a transthoracic resection (TTE; either accompanied by an intrathoracic or cervical anastomosis) or a transhiatal resection (THE; accompanied by a cervical anastomosis). However, controversy about what approach is best for gastro-esophageal junction tumors (GEJ) still exists and the choice of the approach is currently based on the surgeons’ discretion. In this chapter, we describe the indications for each minimally invasive approach for GEJ tumors, the surgical technique, the most common complications and their treatment, our own experiences, patient-survival rates, current developments and problems regarding surgical treatment for patients with cancer of the GEJ.

Supplementary material

Video 10.1

Ivor Lewis esophageal resection with “flap and wrap” anastomosis technique (MP4 768222 kb)

Video 10.2

Esophago-jejunostomy high anastomosis with Orvil device® (MP4 137787 kb)

Video 10.3

Orvil circular stapler esophago-jejunostomy anastomosis (MOV 88708 kb)

Video 10.4

Esophago-jejunostomy side-to-side anastomosis with linear stapler (MP4 141591 kb)


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Copyright information

© Springer International Publishing AG 2017

Authors and Affiliations

  • Annelijn E. Slaman
    • 1
  • Suzanne S. Gisbertz
    • 1
    Email author
  • Mark I. van Berge Henegouwen
    • 1
  • Miguel A. Cuesta
    • 2
  1. 1.Department of SurgeryAcademic Medical CenterAmsterdamThe Netherlands
  2. 2.Department of SurgeryVU UniversityAmsterdamThe Netherlands

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