Ivor Lewis operation is done for: (A) Carcinoma oesophagus, (B) Achalasia cardia, (C) Hiatus hernia, (D) GERD
Answer is A. In carcinoma surgery alone is best suited to patients with disease confined to the oesophagus (T1b, T2)The most widely practiced oesophagotomy approach is the two-phase Ivor Lewis operation, especially distal tumors.Three-phase oesophagectomy (McKeown) may be more appropriate for more proximal tumours in order to achieve better longitudinal clearance,Ref: Bailey and Love 27e pg: 1092