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Laparoscopic and Thoracoscopic Ivor Lewis Esophagectomy With Colonic Interposition  Ninh T. Nguyen, MD, FACS, Marcelo Hinojosa, MD, Christine Fayad, BS,

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Presentation on theme: "Laparoscopic and Thoracoscopic Ivor Lewis Esophagectomy With Colonic Interposition  Ninh T. Nguyen, MD, FACS, Marcelo Hinojosa, MD, Christine Fayad, BS,"— Presentation transcript:

1 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  The Annals of Thoracic Surgery  Volume 84, Issue 6, Pages (December 2007) DOI: /j.athoracsur Copyright © 2007 The Society of Thoracic Surgeons Terms and Conditions

2 Fig 1 Laparoscopic esophagogastric cancer with planned level of distal resection and colonic interposition. The Annals of Thoracic Surgery  , DOI: ( /j.athoracsur ) Copyright © 2007 The Society of Thoracic Surgeons Terms and Conditions

3 Fig 2 Laparoscopic port position for minimally invasive extended esophagogastrectomy with colonic interposition. The Annals of Thoracic Surgery  , DOI: ( /j.athoracsur ) Copyright © 2007 The Society of Thoracic Surgeons Terms and Conditions

4 Fig 3 Laparoscopic mobilization of right and transverse colon with construction of an ileocolic anastomosis. The Annals of Thoracic Surgery  , DOI: ( /j.athoracsur ) Copyright © 2007 The Society of Thoracic Surgeons Terms and Conditions

5 Fig 4 Laparoscopic construction of the gastrocolic anastomosis. The cecum is attached to the esophageal stump in preparation of thoracic colonic pull-up. The Annals of Thoracic Surgery  , DOI: ( /j.athoracsur ) Copyright © 2007 The Society of Thoracic Surgeons Terms and Conditions

6 Fig 5 Schematic diagram of the extended esophagogastrectomy with colonic interposition. There are three anastomoses: (1) ileocolic anastomosis, (2) gastrocolic anastomosis, and (3) esophagocolic anastomosis. An appendectomy was performed in the right chest. Inset represents construction of the esophagocolic anastomosis using a circular stapler. The Annals of Thoracic Surgery  , DOI: ( /j.athoracsur ) Copyright © 2007 The Society of Thoracic Surgeons Terms and Conditions

7 Fig 6 Postoperative upper gastrointestinal contrast study showing the colonic interposition in the right chest cavity. The Annals of Thoracic Surgery  , DOI: ( /j.athoracsur ) Copyright © 2007 The Society of Thoracic Surgeons Terms and Conditions

8 Fig 7 Postoperative abdominal x-ray film showing the descending colon on the left with the entire small bowel on the right side of the abdomen. The Annals of Thoracic Surgery  , DOI: ( /j.athoracsur ) Copyright © 2007 The Society of Thoracic Surgeons Terms and Conditions


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