Minimally Invasive Esophagectomy: Complications and Management

  • Francis Rosato
  • Nathaniel Evans
  • Ernest Rosato


Over the past 10 years, minimally invasive esophagectomy has become an accepted approach to the management of esophageal and gastroesophageal benign and malignant neoplasms. There are many interpretations of the minimally invasive esophagectomy. Currently, the most frequently performed surgeries include combined thoracoscopic esophageal mobilization and laparoscopic gastric mobilization with creation of a cervical esophagogastrostomy anastomosis (“3-hole” esophagectomy); laparoscopic Ivor-Lewis technique, utilizing a laparoscopic mobilization of the stomach followed by a thoracoscopic intrathoracic esophagogastrostomy anastomosis; laparoscopic transhiatal esophagectomy, utilizing a laparoscopic mobilization of the stomach and a trans-abdominal laparoscopic mediastinal esophageal dissection, combined with a cervical esophageal blunt dissection and creation of an esophagogastrostomy anastomosis in the neck.


Thoracic Duct Adult Respiratory Distress Syndrome Laryngeal Nerve Palsy Gastric Conduit Double Lumen Tube 
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Selected Readings

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    Pham TH, Terry KA, Dolan JP, et al. Comparison of perioperative outcomes after combined thoracoscopic-laparoscopic esophagectomy and open Ivor-Lewis esophagectomy. Am J Surg. 2010;199:594–8.PubMedCrossRefGoogle Scholar
  3. 3.
    Sgourakis G, Gockel I, Radtke A, et al. Minimally invasive versus open esophagectomy: meta-analysis of outcomes. DIG DIS SCI DOI 10.1007/s10620-010-1153-1.Google Scholar
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    Berger AC, Bloomenthal A, Weksler B, et al. Oncologic efficacy is not compromised, and may be improved with minimally invasive esophagectomy. JACS (in press).Google Scholar

Copyright information

© Springer Science+Business Media, LLC 2012

Authors and Affiliations

  • Francis Rosato
    • 1
  • Nathaniel Evans
    • 1
  • Ernest Rosato
    • 1
  1. 1.Department of SurgeryJefferson University HospitalPhiladelphiaUSA

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