Ivor lewis surgeon biography of michael

British upper gastro-intestinal surgeon

Selwyn Michael Griffin, OBE, MD, FRCSEd, FRCSEng, FRCPE (born 7 February ), usually known as Michael Griffin, is a British surgeon and clinical researcher known for his work in the early diagnosis and radical treatment of gastric and oesophageal cancer.

He was an upper gastrointestinal surgeon at the Royal Victoria Infirmary in Newcastle upon Tyne and was appointed professor of gastrointestinal surgery at the University of Newcastle Upon Tyne in His clinical and research interests included methods of improving earlier diagnosis and investigating methods of improving the treatment and outcomes for gastric cancer and oesophageal cancer. He played an important role in developing the Northern Oesophagogastric Cancer Unit in Newcastle into one of the largest such specialist units in Europe. Griffin was president of the Association of Upper GI Surgeons of Great Britain and Ireland (AUGIS) and president of the European Society of Diseases of the Esophagus (ESDE). He chaired the Joint Committee for Intercollegiate Examinations (JCIE), the body reposnsible for the administration of specialist surgical examinations in Great Britain and Ireland.

He was made an Officer of the Order of the British Empire (OBE) for services to cancer health care in and was elected President of the Royal College of Surgeons of Edinburgh in

Early life and education

Griffin was educated at Fettes College, Edinburgh, and graduated MBBS in having studied med

Background: We have previously reported our experience with minimally invasive esophagectomy. Our standard approach involves laparoscopic and thoracoscopic mobilization of the esophagus with a cervical esophagogastric anastomosis. In the present study we report our early experience with a modification of this technique, in which a high intrathoracic anastomosis is performed.

Methods: From to , a minimally invasive Ivor Lewis esophagectomy was performed in 50 patients. The planned approach included a totally laparoscopic abdominal procedure and either a minithoracotomy or thoracoscopy. Indications for esophagectomy included short segment Barrett's esophagus with high-grade dysplasia or resectable adenocarcinoma of the gastroesophageal junction (GEJ) with minimal proximal esophageal extension. .

Results: The median age was years (range, 38 to 79). Twenty-five patients (50%) received either preoperative chemotherapy or chemoradiation. There was one nonemergent conversion to an open procedure during laparoscopy. Planned minithoracotomy was successful in 35 patients; an additional 15 patients had the entire thoracic component performed thoracoscopically. A circular stapled anastomosis was performed in all patients. The operative mortality was 6%. Three patients (6%) developed an anastomotic leak; all were successfully managed nonoperatively. Four patients (8%) developed postoperative pneumonia. There were no recurrent laryngeal nerve injuries.

Conclusions: Minimally invasive Ivor Lewis esophagectomy was technically feasible and resulted in good initial results in our center, which is experienced in minimally invasive and open esophagectomy. This approach minimizes the degree of gastric mobilization, almost eliminates recurrent laryngeal nerve injury and pharyngeal dysfunction, and allows additional gastric resection margin in the case of cardia extension of GEJ tumors.

Details:

Michael Bates, the second son and youngest of three children of Tom Bates, a surgeon, was born in Worcester in July There were strong surgical roots in the family, his father being surgeon to the Worcester Royal Infirmary for 34 years, while his paternal grandfather - another Tom Bates - and an uncle, Mark Bates, had also been surgeons to the Infirmary. Michael's mother was 42 when he was born and he had a relatively lonely childhood as his siblings were much older. Moreover he had been born with a sightless left eye and, at the age of six, due to what would now be regarded as quite needless anxiety that the left eye might damage its healthy fellow, the blind eye was removed. At the age of seven he went to Aymestry School where the accent was on discipline, fair play, games and the study of wildlife. Indeed he was so happy there that he ultimately directed that his ashes should be scattered on the school cricket field. His education continued at Radley School, where despite the missing eye, he became an excellent cricketer and captained the first eleven. He then followed his father and grandfather to St Bartholomew's Hospital where he captained the first cricket team and qualified in After a surgical house job and registrar appointment with J E H Roberts at Bart's, he served in the RAMC in the Far East from to before returning to O S Tubbs' unit in the Bart's sector hospital at St Albans, and then at the Brompton Hospital for further training in thoracic surgery with O S Tubbs and Russell (later Lord) Brock. He completed the final FRCS in and was appointed consultant thoracic surgeon at North Middlesex and Broomfield (Colchester) Hospitals in At North Middlesex he developed an excellent regional thoracic centre, building upon the earlier work of Ivor Lewis who had also done general surgery. Closed cardiac surgery was also undertaken but, to his regret, he was never able to develop open cardiac work there. It was some compensation to him that he was la

Central Message.

This video atlas describes a laparoscopic/thoracoscopic minimally invasive Ivor Lewis esophagectomy technique distilled down into 10 steps and backed with excellent published outcomes.

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The evolution of esophageal resection and reconstruction techniques has been “the tale of men repeatedly losing to a stronger adversary yet persisting in an unequal struggle until the nature of the problem became apparent and the war was won.” While attempting to reduce the risk of significant morbidity and mortality while maximizing quality of life and long-term survival, the refinement of esophagectomy approaches has also required tenacity on the part of pioneering surgeons to persevere in the face of harsh criticism, such as Dr Alton Oschner's colorful condemnation of Dr Mark Orringer's early transhiatal esophagectomy series presented at the American Association for Thoracic Surgery 58th Annual Meeting, to which Dr Griffith Pearson replied, “Unless you have tried [it], don't knock it! ” Throughout their evolution over the last 30 years, minimally invasive esophagectomy (MIE) techniques have been similarly disparaged. However, there is now level 1 evidence from 2 multicenter randomized trials demonstrating that MIE is associated with less morbidity and improved quality of life as compared with open approaches, without compromising oncologic quality. As experience with minimally invasive techniques expanded to more and more surgeons and with the accumulating body of evidence in the literature supporting its benefits, MIE emerged as the most common esophagectomy approach in the United States and is the clear direction of the art of esophagectomy.

In this issue of JTCVS Techniques, Harrington and Molena clearly and concisely outline their laparoscopic/thoracoscopic minimally invasive Ivor Lewis esophagectomy technique, distilled down into 10 critical steps. Their video atlas and accompanying text w