Simple Summary The minimally invasive approach has been applied to esophageal cancer surgery since the last decade of the 20th century to reduce the notoriously high levels of postoperative morbidity and respiratory complications. In the last twenty years, due to all the encouraging demonstrations of clinical feasibility, safety, and oncological effectiveness, minimally invasive esophagectomy has gradually incorporated multiple elements of technical heterogeneity, creating individualized approaches for indications for surgery and operative techniques. This article combines all the procedural details and interdisciplinary requirements from a high-volume experience in esophageal cancer care and aims to provide a comprehensive description of the total minimally invasive (laparo-thoracoscopic) procedure for the two-field Ivor Lewis esophagectomy.Abstract Background/Objectives: Esophagectomy represents a major oncological operation due to the surgical involvement of both the abdominal and thoracic cavities. The minimally invasive technique has been developed to minimize the operative impact on patients undergoing esophageal resections, often presenting with nutritional deterioration and poor functional reserves. Methods: The present article provides an illustrative description of the total minimally invasive (laparo-thoracoscopic) Ivor Lewis esophagectomy for cancer integrated with complementary components of perioperative clinical management. This standardized surgical technique of two-field esophagectomy (i.e., laparoscopy and thoracoscopy) was depicted based on the experience of a tertiary center for esophageal cancer care with more than 1500 cases operated on, and in accordance with the SUPER reporting guidelines. Results and conclusions: The accomplishment of the following descriptive and illustrative content allowed the development of remarks on the strengths and possible flaws of this specific procedure, providing a measurable opportunity to absorb technical details of the most widespread surgical resection for esophageal cancer worldwide.
Simple Summary The minimally invasive approach has been applied to esophageal cancer surgery since the last decade of the 20th century to reduce the notoriously high levels of postoperative morbidity and respiratory complications. In the last twenty years, due to all the encouraging demonstrations of clinical feasibility, safety, and oncological effectiveness, minimally invasive esophagectomy has gradually incorporated multiple elements of technical heterogeneity, creating individualized approaches for indications for surgery and operative techniques. This article combines all the procedural details and interdisciplinary requirements from a high-volume experience in esophageal cancer care and aims to provide a comprehensive description of the total minimally invasive (laparo-thoracoscopic) procedure for the two-field Ivor Lewis esophagectomy.Abstract Background/Objectives: Esophagectomy represents a major oncological operation due to the surgical involvement of both the abdominal and thoracic cavities. The minimally invasive technique has been developed to minimize the operative impact on patients undergoing esophageal resections, often presenting with nutritional deterioration and poor functional reserves. Methods: The present article provides an illustrative description of the total minimally invasive (laparo-thoracoscopic) Ivor Lewis esophagectomy for cancer integrated with complementary components of perioperative clinical management. This standardized surgical technique of two-field esophagectomy (i.e., laparoscopy and thoracoscopy) was depicted based on the experience of a tertiary center for esophageal cancer care with more than 1500 cases operated on, and in accordance with the SUPER reporting guidelines. Results and conclusions: The accomplishment of the following descriptive and illustrative content allowed the development of remarks on the strengths and possible flaws of this specific procedure, providing a measurable opportunity to absorb technical details of the most widespread surgical resection for esophageal cancer worldwide.
Surgical Technique and Implementation of Total Minimally Invasive (Laparo-Thoracoscopic) Ivor Lewis Esophagectomy for Cancer / Puccetti, Francesco; Battaglia, Silvia; Carresi, Agnese; Cinelli, Lorenzo; Turi, Stefano; Elmore, Ugo; Rosati, Riccardo; The Osr CCeR Collaborative Group, Null. - In: CANCERS. - ISSN 2072-6694. - 16:19(2024). [10.3390/cancers16193281]
Surgical Technique and Implementation of Total Minimally Invasive (Laparo-Thoracoscopic) Ivor Lewis Esophagectomy for Cancer
Puccetti, Francesco;Battaglia, Silvia;Carresi, Agnese;Cinelli, Lorenzo;Elmore, Ugo;Rosati, Riccardo;
2024-01-01
Abstract
Simple Summary The minimally invasive approach has been applied to esophageal cancer surgery since the last decade of the 20th century to reduce the notoriously high levels of postoperative morbidity and respiratory complications. In the last twenty years, due to all the encouraging demonstrations of clinical feasibility, safety, and oncological effectiveness, minimally invasive esophagectomy has gradually incorporated multiple elements of technical heterogeneity, creating individualized approaches for indications for surgery and operative techniques. This article combines all the procedural details and interdisciplinary requirements from a high-volume experience in esophageal cancer care and aims to provide a comprehensive description of the total minimally invasive (laparo-thoracoscopic) procedure for the two-field Ivor Lewis esophagectomy.Abstract Background/Objectives: Esophagectomy represents a major oncological operation due to the surgical involvement of both the abdominal and thoracic cavities. The minimally invasive technique has been developed to minimize the operative impact on patients undergoing esophageal resections, often presenting with nutritional deterioration and poor functional reserves. Methods: The present article provides an illustrative description of the total minimally invasive (laparo-thoracoscopic) Ivor Lewis esophagectomy for cancer integrated with complementary components of perioperative clinical management. This standardized surgical technique of two-field esophagectomy (i.e., laparoscopy and thoracoscopy) was depicted based on the experience of a tertiary center for esophageal cancer care with more than 1500 cases operated on, and in accordance with the SUPER reporting guidelines. Results and conclusions: The accomplishment of the following descriptive and illustrative content allowed the development of remarks on the strengths and possible flaws of this specific procedure, providing a measurable opportunity to absorb technical details of the most widespread surgical resection for esophageal cancer worldwide.I documenti in IRIS sono protetti da copyright e tutti i diritti sono riservati, salvo diversa indicazione.
