Ivor-Lewis FRCSEd

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Ivor-Lewis (18951982)Hunterian Lecture of the Royal College of Surgeons

Lewis, I (1946) British Journal of Surgery, 34, I8.

...the bold early experiments in oesophageal surgery were followed by decades spent in trying to circumvent rather than face the dangers, and recently by a return to straightforward resection with anastomosis...

Ivor-Lewis

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CroftsTJ. J R Coll Surg Edinb. 2000 Oct;45(5):296303.

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Ivor-Lewis Ivor-Lewis: ; French window thoracotomy

Ivor LewisRelation between depth of tumor infiltration (T) and Relation between depth of tumor infiltration (T) and lymph node metastasis (N) lymph node metastasis (N) T N0 N1 Prevalence of nodal metastases (%) T N0 N1 Prevalence of nodal metastases (%) T1 (n = 8) 5 3 37.5 T1 (n = 8) 5 3 37.5 T2 (n = 22) 7 15 68.2 T2 (n = 22) 7 15 68.2 T3 (n = 40) 9 31 77.5 T3 (n = 40) 9 31 77.5 T4 (n = 3) 0 3 100 T4 (n = 3) 0 3 100 P = 0.888 P = 0.888

Two field lymphadenectomy , ,

Distribution of lymph node metastatic locations Distribution of lymph node metastatic locations Metastatic location Patients with Metastatic location Patients with negative lymph negative lymph node (n ) node (n ) Patients with Patients with positive lymph positive lymph node (n ) node (n ) Frequency of Frequency of nodal nodal metastases (%) metastases (%) Upper mediastinum 60 13 17.8 Upper mediastinum 60 13 17.8 Middle mediastinum 58 15 20.5 Middle mediastinum 58 15 20.5 Lower mediastinum 43 30 41.1 Lower mediastinum 43 30 41.1 Upper abdomen 48 25 34. Upper abdomen 48 25 34.Jie Wu et al. World J Gastroenterol 2008 August 28; 14(32): 5084-5089

Ivor-Lewis

David E A , Marshall M B Interact CardioVasc Thorac Surg 2010;11:529-531

- Ivor-Lewis

David E A , Marshall M B Interact CardioVasc Thorac Surg 2010;11:529-531

Ivor-Lewis: French window thoracotomy (modification)

Marshall M. B. et al.; Ann Thorac Surg 2009;88:685-687

Seon Hyun Kim et al, RadioGraphics, 21, 1119-1137.

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