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Gastric Ischemic Conditioning Prior to Laparoscopic and Thoracoscopic Ivor-Lewis Esophagectomy
Esteban Varela*1, Ninh T. Nguyen2
1Surgery, University of Texas Southwestern, Dallas, TX; 2Surgery, University of California Irvine, Orange, CA

This video illustrates the gastric ischemic conditioning technique prior to laparoscopic and thoracoscopic Ivor-Lewis esophagectomy by division of the left gastric artery at the time of diagnostic laparoscopy. Specific steps for esophagectomy are also shown: creation of gastric conduit, pull-up and esophagogastric anastomosis. We conclude that gastric ischemic conditioning is safe and feasible and may decrease anastomotic leaks by increasing conduit perfusion at the time of pull-up.

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