Minimally invasive left-sided esophagectomy (MILO): A novel approach for locally advanced tumors of the gastroesophageal junction

J. A. Gossage

doi:10.1093/dote/doaa059

Minimally invasive left-sided esophagectomy (MILO): A novel approach for locally advanced tumors of the gastroesophageal junction

J. A. Gossage^*

^*Corresponding author for this work

Research output: Contribution to journal › Article › peer-review

Abstract

Recent national audit has shown that levels of minimally invasive esophagectomy for cancer have increased to around 45% in the UK. The hybrid approach is the most common, with a laparoscopic abdominal phase and an open thoracic dissection. A number of centers have now adopted a two-phase Ivor-Lewis minimally invasive esophagectomy using a laparoscopic abdominal phase, followed by a thoracoscopic chest phase with a mini-thoracotomy to extract the specimen. The two-phase nature of the procedure lengthens the operative time and makes returning to the abdominal cavity difficult. The thoracotomy incision can also be painful and may reduce respiratory function post operatively. This report describes a novel single-phase minimally invasive left-sided technique with a mini-laparotomy for specimen extraction. This method offers excellent hiatal exposure, avoids a thoracotomy, and shortens the procedure time. Minimally invasive left-sided esophagectomy is a new useful approach for tumors located at the gastroesophageal junction.

Original language	English
Article number	doaa059
Journal	Diseases of the Esophagus
Volume	34
Issue number	1
DOIs	https://doi.org/10.1093/dote/doaa059
Publication status	Published - 1 Jan 2021

Keywords

gastroesophageal junction tumors
laparoscopic surgery
surgical technology
thoracoscopic surgery

UN SDGs

This output contributes to the following UN Sustainable Development Goals (SDGs)

Access to Document

10.1093/dote/doaa059

Cite this

@article{fa90ef60b52e42d0b871ee7a24c0feaf,

title = "Minimally invasive left-sided esophagectomy (MILO): A novel approach for locally advanced tumors of the gastroesophageal junction",

abstract = "Recent national audit has shown that levels of minimally invasive esophagectomy for cancer have increased to around 45% in the UK. The hybrid approach is the most common, with a laparoscopic abdominal phase and an open thoracic dissection. A number of centers have now adopted a two-phase Ivor-Lewis minimally invasive esophagectomy using a laparoscopic abdominal phase, followed by a thoracoscopic chest phase with a mini-thoracotomy to extract the specimen. The two-phase nature of the procedure lengthens the operative time and makes returning to the abdominal cavity difficult. The thoracotomy incision can also be painful and may reduce respiratory function post operatively. This report describes a novel single-phase minimally invasive left-sided technique with a mini-laparotomy for specimen extraction. This method offers excellent hiatal exposure, avoids a thoracotomy, and shortens the procedure time. Minimally invasive left-sided esophagectomy is a new useful approach for tumors located at the gastroesophageal junction. ",

keywords = "gastroesophageal junction tumors, laparoscopic surgery, surgical technology, thoracoscopic surgery",

author = "Gossage, {J. A.}",

note = "Publisher Copyright: {\textcopyright} 2020 The Author(s) 2020. Published by Oxford University Press on behalf of International Society for Diseases of the Esophagus. All rights reserved. For permissions, please e-mail: [email protected]. Copyright: Copyright 2021 Elsevier B.V., All rights reserved.",

year = "2021",

month = jan,

day = "1",

doi = "10.1093/dote/doaa059",

language = "English",

volume = "34",

journal = "Diseases of the Esophagus",

issn = "1120-8694",

publisher = "Oxford University Press (OUP)",

number = "1",

}

TY - JOUR

T1 - Minimally invasive left-sided esophagectomy (MILO)

T2 - A novel approach for locally advanced tumors of the gastroesophageal junction

AU - Gossage, J. A.

N1 - Publisher Copyright: © 2020 The Author(s) 2020. Published by Oxford University Press on behalf of International Society for Diseases of the Esophagus. All rights reserved. For permissions, please e-mail: [email protected]. Copyright: Copyright 2021 Elsevier B.V., All rights reserved.

PY - 2021/1/1

Y1 - 2021/1/1

N2 - Recent national audit has shown that levels of minimally invasive esophagectomy for cancer have increased to around 45% in the UK. The hybrid approach is the most common, with a laparoscopic abdominal phase and an open thoracic dissection. A number of centers have now adopted a two-phase Ivor-Lewis minimally invasive esophagectomy using a laparoscopic abdominal phase, followed by a thoracoscopic chest phase with a mini-thoracotomy to extract the specimen. The two-phase nature of the procedure lengthens the operative time and makes returning to the abdominal cavity difficult. The thoracotomy incision can also be painful and may reduce respiratory function post operatively. This report describes a novel single-phase minimally invasive left-sided technique with a mini-laparotomy for specimen extraction. This method offers excellent hiatal exposure, avoids a thoracotomy, and shortens the procedure time. Minimally invasive left-sided esophagectomy is a new useful approach for tumors located at the gastroesophageal junction.

AB - Recent national audit has shown that levels of minimally invasive esophagectomy for cancer have increased to around 45% in the UK. The hybrid approach is the most common, with a laparoscopic abdominal phase and an open thoracic dissection. A number of centers have now adopted a two-phase Ivor-Lewis minimally invasive esophagectomy using a laparoscopic abdominal phase, followed by a thoracoscopic chest phase with a mini-thoracotomy to extract the specimen. The two-phase nature of the procedure lengthens the operative time and makes returning to the abdominal cavity difficult. The thoracotomy incision can also be painful and may reduce respiratory function post operatively. This report describes a novel single-phase minimally invasive left-sided technique with a mini-laparotomy for specimen extraction. This method offers excellent hiatal exposure, avoids a thoracotomy, and shortens the procedure time. Minimally invasive left-sided esophagectomy is a new useful approach for tumors located at the gastroesophageal junction.

KW - gastroesophageal junction tumors

KW - laparoscopic surgery

KW - surgical technology

KW - thoracoscopic surgery

UR - http://www.scopus.com/inward/record.url?scp=85100069798&partnerID=8YFLogxK

U2 - 10.1093/dote/doaa059

DO - 10.1093/dote/doaa059

M3 - Article

C2 - 32591785

AN - SCOPUS:85100069798

SN - 1120-8694

VL - 34

JO - Diseases of the Esophagus

JF - Diseases of the Esophagus

IS - 1

M1 - doaa059

ER -

Minimally invasive left-sided esophagectomy (MILO): A novel approach for locally advanced tumors of the gastroesophageal junction

Abstract

Keywords

UN SDGs

Access to Document

Other files and links

Fingerprint

Cite this