Publication Name	World Journal of Gastrointestinal Surgery
Manuscript ID	124340
DOI	10.4240/wjgs.124340
Country	Türkiye

Category	Surgery
Manuscript Type	Retrospective Study
Article Title	Prophylactic application of modified vacuum-assisted closure therapy in Ivor Lewis esophagectomy: Preliminary results
Manuscript Source	Unsolicited Manuscript
All Author List	Kaan Ciciboga, Tevfik Kıvılcım Uprak and Nezih Onur Ermerak
Funding Agency and Grant Number
Corresponding Author	Nezih Onur Ermerak, Department of Thoracic Surgery, Marmara University School of Medicine, Yazıcıoğlu Caddesi No. 10, Istanbul 34890, Türkiye. onur.ermerak@marmara.edu.tr
Key Words	Esophagectomy; Anastomotic leak; Esophageal neoplasms; Endoscopic vacuum therapy; Ivor Iewis esophagectomy
Core Tip	Anastomotic leakage remains one of the most serious complications after Ivor Lewis esophagectomy. This study presents the first clinical experience with a modified, endoscopy-independent prophylactic vacuum-assisted closure system (ModVAC) that can be placed intraoperatively using standard surgical materials. ModVAC was feasible, safe, and achieved a high protocol completion rate with minimal device-related complications. Although the reduction in anastomotic leakage did not reach statistical significance in this preliminary cohort, all leaks in the ModVAC group were managed non-operatively, supporting further evaluation of this simple, low-cost prophylactic approach in larger prospective studies.
Citation	Ciciboga K, Uprak TK, Ermerak NO. Prophylactic application of modified vacuum-assisted closure therapy in Ivor Lewis esophagectomy: Preliminary results. World J Gastrointest Surg 2026; In press DOI: https://doi.org/10.4240/wjgs.124340
PDF	124340-in-press.pdf

Received	2026-06-12 03:46
Peer-Review Started	2026-06-12 03:46
First Decision by Editorial Office Director
Return for Revision	2026-07-09 01:41
Revised	2026-07-15 14:06
Publication Fee Transferred	2026-08-10 08:25
Second Decision by Editor	2026-09-04 02:42
Second Decision by Editor-in-Chief
Final Decision by Editorial Office Director	2026-09-04 10:17
Articles in Press	2026-09-04 10:17
Edit the Manuscript by Language Editor
Typeset the Manuscript

ISSN	1948-9366 (online)
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