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What is Commonest cause of moality in Ivor Lewis operation and explain in detail?
Ivor Lewis operation is done for esophageal carcinoma. It is a 2 stage operation, in which abdomen is opened first, closed and then thoracotomy is performed. As it involves esophago- gastric anastomosis, Major complication causing moality is anastomotic leak. Aggressive investigation for leak is mandatory in case of unexplained fever or clinical event. Reference: Bailey and love, 27th edition, page 1092,1093