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. 2021 Dec 25;14(1):97. doi: 10.3390/cancers14010097

Table 2.

Major steps during a standard two-stage esophagectomy with ischemic conditioning of the stomach.

Step 1
Laparoscopic/Robotic Gastrolysis		 Step 2 (after 3–6 Days)
Ivor Lewis Esophagectomy
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    stomach mobilization and partial devascularization of the stomach (left gastro-epiploic, short gastric and left gastric vessels)
  • -

    relaparoscopy and gastric tube formation

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    right-sided transthoracic esophagectomy, and systematic lymphadenectomy (double lumen intubation)
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    preparation of the omentum flap (fundus/corpus)
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    gastric pull-up

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    intraoperative imaging with HSI and FI-ICG
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    abdominal 2–lymphadenectomy
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    high-intrathoracic esophago-gastric anastomosis with a circular stapler (25 or 28 mm)
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    omentum flap between trachea and anastomosis