Totally endoscopic Ivor Lewis esophagectomy

David Watson, Nicholas Davies, Glyn Jamieson

Research output: Contribution to journalArticlepeer-review

121 Citations (Scopus)


Esophagectomy is associated with significant risks of perioperative morbidity and mortality, as well as prolonged convalescence due to effects of the incisions used for conventional surgical access. Because the outcome of this procedure is palliative in the majority of patients, it is possible that laparoscopic techniques could improve initial postoperative outcomes and therefore make surgery more acceptable for patients with esophageal cancer. A new technique is described for Ivor Lewis esophagectomy, which incorporates a hand-assisted laparoscopic approach for gastric mobilization and a thoracoscopic approach for esophageal dissection and anastomosis. Initial experience in two patients has been encouraging, with postoperative hospital stay and convalescence shortened.
Original languageEnglish
Pages (from-to)293-297
Number of pages5
JournalSurgical Endoscopy and Other Interventional Techniques
Issue number3
Publication statusPublished - Mar 1999
Externally publishedYes


  • Oesophagectomy
  • Esophagus
  • Carcinoma
  • Surgery
  • Laparoscopy
  • Thoracoscopy


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