VA03.2. Management of Sigmoid Esophagus in Achalasia: Laparothoracoscopic Ivor Lewis Esophagectomy

Clicks: 20
ID: 325925
2026
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Ranked #137 of 453 articles by views in diseases of the esophagus : official journal of the international society for diseases of the esophagus

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Abstract
Abstract Topic Benign Disease: Esophageal Function and Motility Video Description What the Video Shows This video demonstrates laparothoracoscopic Ivor Lewis esophagectomy for end-stage achalasia cardia with sigmoid esophagus. The procedure includes abdominal and thoracic phases, gastric conduit preparation, esophageal mobilization, resection of the sigmoidized esophagus, and intrathoracic esophagogastric anastomosis. Key technical steps, patient positioning, port placement, and intraoperative challenges unique to sigmoid esophagus are highlighted. Why This Video Is Important Sigmoid esophagus represents end-stage achalasia, where conventional treatments such as myotomy or endoscopic interventions are ineffective. Esophagectomy remains the definitive option but is technically demanding due to distorted anatomy, mediastinal fibrosis, and dilated esophagus. This video demonstrates a minimally invasive laparothoracoscopic Ivor Lewis approach, offering effective symptom relief while avoiding thoracotomy. The technique is infrequently showcased and provides valuable insights into decision-making and operative strategies for complex achalasia cases.
Reference Key
openalex_W7203971840 Use this key to autocite in the manuscript while using SciMatic Manuscript Manager or Thesis Manager
Authors
Journal diseases of the esophagus : official journal of the international society for diseases of the esophagus
Year 2026
DOI
10.1093/dote/doag077.444
URL
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