Oesophagectomy (Ivor Lewis)
OESOPHAGECTOMY (IVOR LEWIS)
Indication: Carcinoma of the middle or distal oesophagus or gastro-oesophageal junction. Suitable for resectable lesions without distant metastasis. Allows direct thoracoscopic or thoracotomy access for clean resection with intrathoracic anastomosis.
Patient Position: Supine (abdominal phase) then left lateral decubitus (thoracic phase).
Anaesthesia: General with double-lumen tube (one-lung ventilation for thoracic phase).
Prophylactic Antibiotics: Per protocol.