Kamikawa Double-Flap Reconstruction Following Minimally Invasive Ivor-Lewis Esophagectomy.

We present a 63 year-old male with mid-thoracic esophageal squamous cell carcinoma who underwent minimally invasive Ivor-Lewis Esophagectomy post neoadjuvant chemoradiotherapy. Laparoscopic dissection, gastric tube creation and mobilization was performed. Thoracoscopic esophageal dissection, subcarinal, para-esophageal and diaphragmatic lymphadenectomy were performed, followed by esophago-gastric anastomosis with double seromuscular flap reconstruction in the manner originally described by Kamikawa. The operation was completed in 618 minutes with 200ml blood loss and the patient recovered uneventfully. A morphologic sphincter was seen on post-operative contrast study. PMID: 30872101 [PubMed - as supplied by publisher]

https://www.ncbi.nlm.nih.gov/pubmed/30872101?dopt=Abstract

Source: The Annals of Thoracic Surgery - March 10, 2019 Category: Cardiovascular & Thoracic Surgery Authors: Chia DK, Guowei K, Chang HS, Toh BC, So JB, Shabbir A Tags: Ann Thorac Surg Source Type: research