Wang CP, Rogers MP, Bach G, et al. - Researchers compared mortality outcomes and postoperative complications in correlation with using a minimally invasive abdomen-only esophagectomy (MIAE) approach vs a minimally invasive Ivor Lewis esophagectomy (MIILE) approach for esophageal resection in the treatment of gastroesophageal adenocarcinoma or stricture. In this single-center retrospective cohort study, 17 patients undergoing MIAE and 32 patients treated with MIILE were included. They offered MIAE for treating strictures less than five centimeters or cancers that were American Joint Committee on Cancer (AJCC) Stage ≤ T2 without lymphadenopathy. When compared with a minimally invasive Ivor Lewis approach, a minimally invasive abdomen-only approach is identified to have comparable safety profile in a specific patient population, with associated shorter median operative duration. Despite significantly greater preoperative comorbidities and higher calculated perioperative risk of complication among patients, MIAE demonstrated similar post-operative outcomes. This suggests a possible suitability of MIAE for treating gastroesophageal adenocarcinoma or stricture in patients deemed unsuitable for MIILE.