Robotic Ivor Lewis oesophagectomy with intrathoracic hybrid anastomosis

Ivor Lewis oesophagectomy is the preferred approach for lower oesophageal and gastro-oesophageal junctional carcinomas. Performing the intrathoracic anastomosis is the most challenging aspect of this surgery. The surgical robot, with its three-dimensional vision and wristed instruments, provides unparalleled control over the performance of this anastomosis within the space-constrained thoracic cavity. Various techniques of intrathoracic anastomosis from small single-institution studies have been described in the literature. Here, we present our technique of an intrathoracic semi-mechanical anastomosis after robotic Ivor Lewis oesophagectomy.