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Ann Thorac Surg 2007;84:2120-2124. doi:10.1016/j.athoracsur.2007.03.091
© 2007 The Society of Thoracic Surgeons
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How To Do It

Laparoscopic and Thoracoscopic Ivor Lewis Esophagectomy With Colonic Interposition

Ninh T. Nguyen, MD, FACS*, Marcelo Hinojosa, MD, Christine Fayad, BS, James Gray, BS, Zuri Murrell, MD, Michael Stamos, MD

Department of Surgery, University of California Irvine Medical Center, Orange, California

Accepted for publication March 26, 2007.

* Address correspondence to Dr Nguyen, Department of Surgery, 333 City Bldg West, Suite 850, Orange, CA 92868 (Email: ninhn{at}uci.edu).

Minimally invasive esophagectomy is a feasible and safe alternative to open esophagectomy. The stomach is the preferred conduit for gastrointestinal reconstruction after esophagogastrectomy; however, if the stomach is not usable, the colon can be interposed as an alternative conduit. We describe the technique of minimally invasive Ivor Lewis esophagogastrectomy in a patient with a gastric cardia cancer involving the gastric body and distal esophagus. Laparoscopic colonic interposition using the right colon based on the middle colic vessels was used to restore gastrointestinal continuity.






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