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An Ivor Lewis Esophagectomy Designed to Minimize Anastomotic Complications and Optimize Conduit Function
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Chapters
- 00:04Introduction
- 00:47Initial Laparotomy Phase
- 02:21Gastric Conduit Creation
- 03:51Thoracic Phase
- 04:59Esophagogastric Anastomosis Creation
- 07:16Re-Laparotomy: Double Flip Phase
- 07:55Results: Intrathoracic Esophagogastric Anastomotic Technique Outcome Comparison
- 09:12Conclusion
We describe a novel intrathoracic esophagogastric anastomotic technique designed to create a large diameter anastomosis while simultaneously maintaining conduit blood supply to minimize the incidence of anastomotic leaks and strictures. Construction and orientation of the stomach conduit designed to optimize upper gastrointestinal tract function is also described.
Tags
Keywords: EsophagectomyAnastomotic ComplicationsConduit FunctionEsophagogastric AnastomosisIvor Lewis TechniqueStaple Line-on-staple LineGastric Conduit CreationLesser Omental Fat DebulkingRight Gastric VesselsVascular Endo StaplersGastrocolic Ligament DivisionLeft Gastroepiploic And Short Gastric VesselsLaparotomyKocher Maneuver
