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Minimally Invasive Esophagectomy Step by Step: How I Do It

  • Miguel A. CuestaEmail author
  • Joris J. Scheepers
  • Jan Willem Dekker
  • Donald L. van der Peet
Chapter

Abstract

There are three different Minimally Invasive Esophagectomy (MIE) procedures: 1- the 3 stage McKeown MIE, 2- the 2 stage Ivor Lewis MIE and 3- the Transhiatal MIE procedure. The thoracoscopic phase of the two first procedures may be performed in lateral or in prone position. The choice for the approach is made according to the location of the tumor and the general condition of the patient.

Supplementary material

Video 12.1

Thoracoscopic esophagectomy in prone position (MOV 785758 kb)

Video 12.2

Laparoscopic transhiatal esophagectomy (MPG 43806 kb)

Video 12.3

Two stage Ivor Lewis MIE anastomosis by means of the Orvil (R) device and flap and wrap protection

References

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    Makay O, van den Broek WT, Yuan JZ, et al. Anaesthesiological hazards during laparoscopic transhiatal esophageal resection: a case control study of the laparoscopic assisted versus the conventional approach. Surg Endosc. 2004;18:1263–7.CrossRefPubMedGoogle Scholar
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    Mannell A, Mcknight A, Esser JD. Role of pyloroplasty in the retrosternal stomach – results of a prospective, randomized, controlled trial. Br J Surg. 1990;77:57–9.CrossRefPubMedGoogle Scholar

Copyright information

© Springer International Publishing AG 2017

Authors and Affiliations

  • Miguel A. Cuesta
    • 1
    • 2
    Email author
  • Joris J. Scheepers
    • 3
  • Jan Willem Dekker
    • 3
  • Donald L. van der Peet
    • 1
  1. 1.Department of SurgeryVU University Medical CentreAmsterdamThe Netherlands
  2. 2.Department of SurgeryReinier de Graaf ZiekenhuisDelftThe Netherlands
  3. 3.Department of SurgeryReinier de Graaf ZiekenhuisDelftThe Netherlands

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