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Ann Thorac Surg 2007;84:1780-1782. doi:10.1016/j.athoracsur.2007.08.019
© 2007 The Society of Thoracic Surgeons
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Vinod H. Thourani
Joseph I. Miller, Jr
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How To Do It

Modified Nissen Fundoplication Combined With Ivor Lewis Esophagogastrectomy

Maria C. Russell, MD*, Vinod H. Thourani, MD, Joseph I. Miller, Jr, MD

Subsection of General Thoracic Surgery, Division of Cardiothoracic Surgery, Emory University School of Medicine, Atlanta, Georgia

Accepted for publication August 9, 2007.

* Address correspondence to Dr Russell, Department of Surgery, Emory University Hospital, Rm B206, 1364 Clifton Road, NE, Atlanta, GA 30322 (Email: maria.russell{at}emoryhealthcare.org).

Esophageal carcinoma is a difficult neoplasm to treat, with a reported overall 5-year survival of about 15%. The role of chemotherapy and radiation has yet to be defined, making surgical resection the standard treatment. Postoperative esophageal leak remains a significant contributor to morbidity and mortality, especially after an intrathoracic anastomosis. We propose a modification of the Ivor Lewis esophagogastrectomy that has resulted in two anastomotic leaks in a series of more than 500 patients.






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