Thoracoscopic-Laparoscopic Ivor Lewis Esophagectomy

  • Xiang Wei
  • Cai Cheng


The Ivor Lewis surgery originally included two stages and is generally completed in a single stage in China. A thoracoscopic-laparoscopic Ivor Lewis esophagectomy is indicated by esophageal cancer involving the cardia and the inferior portion of the esophagus, while an involvement of the medial and superior portions may lead to over-tension of anastomotic stoma, and therefore should not resort to this procedure.

A well-exposed operative field is crucial to the successful completion of esophageal and gastric mobilization and abdominal lymph node dissection. It depends on the establishment and maintenance of a sufficient pneumoperitoneum, scientific patient position, and effective retraction of obstacle structures.

A successful operation is also guaranteed if completed with good cooperation between an operating surgeon and assistants, proper endoscopic resection and anastomosis, and exact hemostasis and careful postoperative treatment.


Ivor Lewis Inferior esophageal cancer Pneumoperitoneum Resection Anastomosis 


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Copyright information

© Springer Nature Singapore Pte Ltd. and Huazhong University of Science and Technology Press 2018

Authors and Affiliations

  • Xiang Wei
    • 1
  • Cai Cheng
    • 1
  1. 1.Department of Cardiothoracic SurgeryTongji Hospital, Tongji Medical College of Huazhong University of Science and TechnologyWuhanChina

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