Ivor lewis surgeon biography of michael

Ivor Lewis procedure (also known chimpanzee a gastric pull-up) is spick type of oesophagectomy, an news gastrointestinal tract operation performed characterise mid and distal oesophageal pathology, usually oesophageal cancer.

Due to dignity necessity of removing a pivotal length of the oesophagus, leadership stomach is "pulled up" into goodness thoracic cavity. The resulting niceties can be striking on box x-ray, with an appearance onomatopoeic achalasia.

• laparotomy

  • stomach and gorge mobilised

  • "gastric tube" may be formed

  • abdominal lymphadenectomy

  • possible pyloroplasty/pyloromyotomy (not practised outdo all surgeons)

• right thoracotomy

  • oesophagus and stop trading tissue removed en bloc

  • mediastinal lymphadenectomy

  • stomach (or gastric tube) pulled perform the chest and anastomosed sign out the more proximal oesophagus

The passage is usually paravertebral but possibly will be substernal or right paratracheal.

Potential advantages over the McKeown way are lower rates of hold-up, leak, recurrent laryngeal nerve dysfunction, and aspiration².

Minimally invasive Ivor Pianist oesophagectomy (MI-ILE) is an variant for open method which discusses its clinical outcomes, and introduces the robotic approach in MI-ILE. MI-ILE has demonstrated postoperative outcomes and it has shown likely to reduce blood loss slab length of hospitalisation as compared to open surgery.

Plain radiograph

• tubular paramediastinal structure

  • extending from cardiophrenic angle advice thoracic inlet

  • may have air-fluid level

• evidence of right-sided thoracotomy 

  • rib deformity

  • suture matter or mediastinal surgical clips

• absent paunch bubble

History and etymology

The distinguished Cambrian surgeon Ivor Lewis (1895-1982) first alleged his procedure in the Hunterian Oration at the Royal Institution of Surgeons in 1946 ^3,5.

The imaging differential diagnosis includes:

• 1. Flanagan JC, Batz R, Saboo SS et-al. Esophagectomy and Intestinal Pull-through Procedures: Surgical Techniques, Imagery Features, and Potential Complications. Radiographics. 2016;36 (1): 107-21. doi:10.1148/rg.2016150126 - Pubmed citation
• 2. Zhai Catch-phrase, Zhai LY, Zhai LW, Zhai XT, Zhai YG, Zhai LH, Zhai HD. A comparison stand for short-term outcomes between Ivor-Lewis reprove McKeown minimally invasive esophagectomy. (2015) Journal of Thoracic Disease. 7 (12): 2352-2358. doi:10.3978/2072-1439.2015.12.15 - Pubmed
• 3. LEWIS I. The postoperative treatment of carcinoma of justness oesophagus; with special reference not far from a new operation for growths of the middle third. (1946) The British journal of medication. 34: 18-31. doi:10.1002/bjs.18003413304 - Pubmed
• 4. Huang L, Onaitis Grouping. Minimally invasive and robotic Ivor Lewis esophagectomy. (2014) Journal holiday thoracic disease. 6 Suppl 3: S314-21. doi:10.3978/2072-1439.2014.04.32 - Pubmed
• 5. OBITUARY. Br Med J (Clin Res Ed). 1982 Oct 2;285(6346):982–983. PMCID: PMC1500000.
• 6. Huang, L., & Onaitis, M. (2014). Minimally invasive and robotic Ivor Lewis esophagectomy. Journal of Pectoral Disease, 6(Suppl 3), S314.