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Title
1. Introduction
2. Endoscopy
3. Patient Positioning and Draping
4. Incision and Port Placement
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a. Initial Inspection of Abdomen
5. Open Gastrohepatic Omentum
6. Mobilize Along the Top Part of Esophageal Hiatus
7. Free Esophagus Along Right Crus
8. Skeletonize Left Gastric Artery and Vein
9. Greater Curve Dissection
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a. Entering the Lesser Sac
b. Taking Short Gastric Vessels
c. Dissecting toward Pylorus, Preserving the Gastroepiploic
d. Dissecting Along Left Crus
10. Division of Left Gastric Artery and Veins
11. Additional Mediastinal Dissection
12. Lesser Curve Dissection
13. Gastric Conduit
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a. Add Right Lower Quadrant Port
b. Divide Vessels Along Lesser Curve
c. Thick Tissue Staple Loads to Create Conduit
14. Dissection at GE Junction
15. Mattress Suture Stomach to Specimen
16. Close Ports
18. Port Placement
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a. Camera Port
b. Posterior Inferior Port
c. Second Posterior Port
d. Retractor Port
e. Stitch in Diaphragm
f. Retract Lung
g. Suction Port
19. Dissection in Chest
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a. Inspect for Metastatic Disease
b. Take Down Inferior Pulmonary Ligament
c. Medial Pericardium Dissection
d. Lateral Chest Dissection
e. Stitch in Diaphragm
f. Lateral Dissection of Esophagus
20. Divide Azygos Vein
21. Bring Specimen into Chest
22. Circumferentially Dissect Proximal Esophagus
23. Subcarinal Lymphadenectomy
24. Lengthen Posterior Inferior Port Incision
25. Transect Esophagus
26. Esophagus Removal and Inspection
27. Anastomosis
28. Close Gastrotomy
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a. Inject Post-Op Analgesic
b. Drain Placement
c. Inflate Lung
d. Wound Closure
29. Interview
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Minimally Invasive Ivor Lewis Esophagectomy
Christopher Morse, MD
Massachusetts General Hospital
Tags:
General Surgery
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Authors
Christopher R. Morse, MD
Filmed At:
Massachusetts General Hospital
Article Information
Publication Date
N/A
Article ID
176.1
Production ID
0176.1
Volume
N/A
Issue
176.1
DOI
https://doi.org/10.24296/jomi/176.1