First Experience with Three-Dimensional Thoracolaparoscopy in Esophageal Cancer Surgery

Kaaij, Rosa T. van der; Sandick, Johanna W. van; Peet, Donald L. van der; Buma, Sannine A; Hartemink, Koen J.

doi:10.1089/lap.2016.0078

Cited by 7 publications

(9 citation statements)

References 30 publications

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“…Pulmonary complications were most frequent, similar to previous findings 18 -21 . Pulmonary complications are less common after minimally invasive procedures than after open surgery 18 . In the authors' hospital, minimally invasive oesophageal cancer surgery was introduced in 2014 16 . Thus, in the present cohort (January 2009 to June 2015), most oesophageal cancer resections (72⋅0 per cent) and all gastrectomies were performed via an open approach.…”

Section: Discussionmentioning

confidence: 99%

“…Chemoradiotherapy consisting of 5-fluorouracil and cisplatin combined with 36-50 Gy (until 2010), or carboplatin and paclitaxel combined with 41⋅4 Gy (from 2010 onwards) was given to patients with oesophageal cancer before surgery 5 . After 6-10 weeks an open or minimally invasive (from 2014 onwards) 16 oesophagectomy was performed. Continuity of the digestive tract was restored with a gastric tube and a cervical anastomosis.…”

Section: Neoadjuvant and Surgical Treatmentmentioning

confidence: 99%

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Using textbook outcome as a measure of quality of care in oesophagogastric cancer surgery

Kaaij

Rooij

Coevorden

et al. 2018

British Journal of Surgery

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Section: Discussionmentioning

confidence: 99%

Section: Neoadjuvant and Surgical Treatmentmentioning

confidence: 99%

Using textbook outcome as a measure of quality of care in oesophagogastric cancer surgery

Kaaij

Rooij

Coevorden

et al. 2018

British Journal of Surgery

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“…En una revisión de 31 ensayos, un 71% mostró una reducción en el tiempo operatorio y el 63% mostró una reducción significativa en el error quirúrgico. Otros estudios han confirmado estos resultados, en el 60 a 69% de los casos se observó una reducción significativa en el tiempo operatorio, una disminución en los posibles errores en el procedimiento en el 77% debido a la posibilidad de una disección más segura con menos errores y un 100% reportó una mejor percepción y calidad de imagen [4][5][6][7][8][9][10] .…”

Section: Discussionunclassified

“…Si analizamos los beneficios en procedimientos puntuales, en cirugía esofágica compleja como esofagectomía, la disección de los linfonodos infracarinales y perigástricos como la preparación del tubo gástrico se ve facilitado por la mejor visualización y seguridad en las maniobras quirúrgicas. Estos son los beneficios más apreciables y pueden significar un menor tiempo operatorio según los datos actuales y los observados en experiencias previas 8 .…”

Section: Discussionunclassified

Cirugía Laparoscópica con imagen 3D, en que pacientes se justifica y su real beneficio: Valoración Quirúrgica por Cirujanos.

Braghetto-M.¹,

Marchant-G.

Abedrapo-M.³

et al. 2020

Rev. Cirugia

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Introduction:The use of the 3D vision system in laparoscopic surgery can mean better performance in more complex surgical procedures. Aim: Report the indications, results and assessment of a group of surgeons of different specialties in the use of 3D vision. Materials and Method: Surgical indications and subjective and objective results of the use of 3D optical system in patients (n = 155) submitted to complex laparoscopic surgery are analyzed. Subjective evaluation based on a survey of qualitative perception (Likert) was applied to the participating surgeons. For objective evaluation, the operatory times and postoperative complications were recorded and compared with the results observed with the use of the 2D system (783 patients) in the same period. Results: 70.6% agree to have a better image with the 3D technique, 64.7% of surgeons report that the operative time can be reduced, 58.8% consider that it can be reduced the surgical error, 92% and 100% respectively considered that the comfort of the surgeon is better with the use of 3D optics and that this technique is recommended for complex procedures. No substantial differences were found when comparing the results with the use of 3D versus 2D system by the same surgical teams in terms of operative times and postoperative complications. In 3D, postoperative mortality was probably not found due to the lower number of patients in this group. Conclusion: 3D laparoscopy has a good evaluation by the surgeons who used it, mainly in image quality, reduction of operative time and comfort of the surgeon compared to conventional 2D laparoscopy. No substantial differences were found when comparing the results with the use of 3D versus 2D system in terms of operative times or postoperative complications. ResumenIntroducción: El uso del sistema de visión 3D en cirugía laparoscópica puede significar una mejor performance de los procedimientos quirúrgicos de mayor complejidad. Objetivo: Reportar las indicaciones, los resultados y la valoración de un grupo de cirujanos de diferentes especialidades en el uso de visión 3D. Materiales y Método: Se analizan las indicaciones quirúrgicas y los resultados subjetivos y objetivos del uso del sistema óptico 3D (n = 155 pacientes) en cirugía laparoscópica compleja. Para evaluación subjetiva se aplicó a una encuesta de percepción cualitativa a los cirujanos participantes tipo Likert. Para la evaluación objetiva, se registran los tiempos quirúrgicos empleados en los diferentes procedimientos efectuados y las complicaciones postoperatorias y se comparan con los pacientes operados con sistema 2D (n = 783 pacientes) en el mismo periodo. Resultados: el 70,6% concuerda tener mejor imagen con la técnica 3D, el 64,7% de los cirujanos refieren que se puede reducir el tiempo operatorio, el 58,8% considera que se puede reducir el error quirúrgico, el 92% y 100% respectivamente afirman que el confort del cirujano es mejor con el uso de óptica 3D y que esta técnica es recomendable para los procedimientos complejos. El tiempo operatorio se redujo en al...

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“…For better visual depth perception, three-dimensional (3D) cameras seem promising and might even be a more viable technique over two-dimensions (2D) in terms of short-term outcomes for patients with esophageal cancer [32,101,102]. In the current operation robots, they are standard anyway.…”

Section: Three-dimensional Imagingmentioning

confidence: 99%

Minimally invasive esophagectomy

Wykypiel

Schmid

Gehwolf

2019

memo

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Background Minimally invasive techniques have replaced the conventional open approach in many operations. For esophagectomy, it took quite a long time to become routine even in centers. The aim of this review was to demonstrate history and current status of minimally invasive esophagectomy and also robotic-assisted esophagectomy with its associated techniques. Methods Selected literature on minimally invasive surgery for esophageal cancer was identified using a PubMed search for the period 1990-2018 with the search terms esophagectomy, minimal invasive, robotic, indocyanine fluorescein, enhanced recovery after surgery (ERAS), fast-track, nerve monitoring and its permutations. Results Within the last two decades minimally invasive esophagectomy has found its way into clinical practice. It reduces perioperative morbidity with equivalent oncological outcome. It allows for better pulmonary results, less blood loss, less pain, and better quality of life. If robotic assisted esophagectomy helps to further improve the results is currently under investigation. Fast-track protocols have proven their value. Intraoperative nerve monitoring and indocyanine green fluorescein imaging of the perfusion of the gastric tube can lower perioperative complications. Conclusions Minimally invasive surgery for esophageal malignancies offers advantages when performed in an environment with sufficient expertise and caseload. Whether robotic-assisted minimally invasive esophagectomy further improves the results

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First Experience with Three-Dimensional Thoracolaparoscopy in Esophageal Cancer Surgery

Cited by 7 publications

References 30 publications

Using textbook outcome as a measure of quality of care in oesophagogastric cancer surgery

Using textbook outcome as a measure of quality of care in oesophagogastric cancer surgery

Cirugía Laparoscópica con imagen 3D, en que pacientes se justifica y su real beneficio: Valoración Quirúrgica por Cirujanos.

Minimally invasive esophagectomy

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