Robotic-Assisted Ivor Lewis Esophagectomy

Project description

This surgical sequence was created in collaboration with surgeons at Toronto General Hospital (UHN) to illustrate the key stages of a robotic-assisted Ivor Lewis esophagectomy for a patient with a distal esophageal tumour. Designed as a teaching resource for surgical residents, this surgical sequence outlines each major step of the abdominal phase—from port placement to mobilization to gastric conduit formation—providing a clear, accurate visual guide to this complex minimally invasive procedure.

role

Research, illustration, labelling and layout

tools used

Procreate (illustration)
Adobe Illustrator (labelling and layout)

intended use and audience

Educational sequence to teach resident surgeons how to conduct a robotic-assisted, minimally-invasive esophagectomy with Ivor Lewis approach.

references

Cerfolio RJ, Bryant AS, Hawn MT. Robotic-assisted Ivor Lewis esophagectomy in 100 consecutive patients: lessons learned. Ann Thorac Surg. 2016.
Sarkaria IS et al. Outcomes of minimally invasive versus open Ivor Lewis esophagectomy: a comparative study. Thorac Cardiovasc Surg. 2019.
Luketich JD et al. Minimally invasive esophagectomy: outcomes in 1,033 patients. Ann Surg. 2012.
Van der Sluis PC et al. Robot-assisted minimally invasive thoraco-laparoscopic esophagectomy versus open transthoracic esophagectomy: a randomized controlled trial. Ann Surg. 2019.
Low DE et al. International consensus on standardization of data collection for complications associated with esophagectomy. Ann Surg. 2015.
Biere SSAY et al. Minimally invasive versus open esophagectomy for patients with esophageal cancer: a multicentre, open-label, randomized controlled trial. Lancet. 2012.
Chao YK et al. Learning curve of robotic-assisted esophagectomy: analysis of 80 consecutive cases. Dis Esophagus. 2020.
Van Hillegersberg R et al. Surgical technique and oncologic outcomes of robot-assisted minimally invasive esophagectomy. J Thorac Dis. 2020.
Oor JE et al. Current status and future perspectives of robot-assisted esophagectomy. J Thorac Dis. 2017.
University Health Network (UHN), Thoracic Surgery Research and Innovation Division – Procedural Protocols and Resident Education Materials, 2023.