Although Ivor Lewis esophagectomy performed through three
incisions has increased survival in patients with esophageal tumors, pulmonary complications
of this surgery can cause early postoperative mortality and morbidity. Drawing attention to
this, Mark B. Orringer predicted that pulmonary complications could be reduced by eliminating
the thoracic incision. Unlike Ivor Lewis esophagectomy, in case of an anastomotic leak,
the morbidity is reduced since the leak will occur in the neck rather than in the thoracic
cavity. The most criticized aspects of this surgery are insufficient lymphadenectomy, being
performed without direct vision, and the need for a very experienced
surgical team.
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