Initial results of robot-assisted Ivor-Lewis oesophagectomy with intrathoracic hand-sewn anastomosis in the prone position

Trugeda, S.; Fernández-Díaz, Ma José; Rodríguez‐Sanjuán, Juan Carlos; Palazuelos, Carlos Manuel; Fernández-Escalante, Carlos; Gómez-Fleitas, Manuel

doi:10.1002/rcs.1587

Cited by 38 publications

(31 citation statements)

References 35 publications

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“…Robot‐assisted TTE in the prone position was reported in two papers as initial series 21, 22. Feasibility and safety of intrathoracic hand‐sewn anastomosis and lymphadenectomy along the recurrent laryngeal nerves during robotic surgery were shown, as early results, in the studies of Cerfolio et al, Trugeda et al, Suda et al, and Kim et al, respectively 23, 24, 25, 26…”

Section: Early Results With Small Series Of Transthoracic Esophagectomymentioning

confidence: 97%

Robotic surgery for esophageal cancer: Merits and demerits

Seto

Mori

Aikou

2017

Annals of Gastroent Surgery

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Since the introduction of robotic systems in esophageal surgery in 2000, the number of robotic esophagectomies has been gradually increasing worldwide, although robot‐assisted surgery is not yet regarded as standard treatment for esophageal cancer, because of its high cost and the paucity of high‐level evidence. In 2016, more than 1800 cases were operated with robot assistance. Early results with small series demonstrated feasibility and safety in both robotic transhiatal (THE) and transthoracic esophagectomies (TTE). Some studies report that the learning curve is approximately 20 cases. Following the initial series, operative results of robotic TTE have shown a tendency to improve, and oncological long‐term results are reported to be effective and acceptable: R0 resection approaches 95%, and locoregional recurrence is rare. Several recent studies have demonstrated advantages of robotic esophagectomy in lymphadenectomy compared with the thoracoscopic approach. Such technical innovations as three‐dimensional view, articulated instruments with seven degrees of movement, tremor filter etc. have the potential to outperform any conventional procedures. With the aim of preventing postoperative pulmonary complications without diminishing lymphadenectomy performance, a nontransthoracic radical esophagectomy procedure combining a video‐assisted cervical approach for the upper mediastinum and a robot‐assisted transhiatal approach for the middle and lower mediastinum, transmediastinal esophagectomy, was developed; its short‐term outcomes are promising.Thus, the merits or demerits of robotic surgery in this field remain quite difficult to assess. However, in the near future, the merits will definitely outweigh the demerits because the esophagus is an ideal organ for a robotic approach.

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Section: Early Results With Small Series Of Transthoracic Esophagectomymentioning

confidence: 97%

Robotic surgery for esophageal cancer: Merits and demerits

Seto

Mori

Aikou

2017

Annals of Gastroent Surgery

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“…In RAMIE, the utilization of EndoWrist instruments, the deeper high definition 3D vision, the motion scaling and tremor filtration make a hand-sewn intrathoracic anastomosis possible and easier to accomplish. Trugeda and more recently Bongiolatti (40,41), published personal series of RAILE with hand-sewn intrathoracic esophagogastric anastomosis without increased incidence of leakage, stenosis or prolonged operative time. A published survey by Haverkamp et al (20) shows that nowadays the preferred technique of anastomosis is to stapler the thoracic anastomosis and to hand-sew the cervical ones.…”

Section: Ramiementioning

confidence: 99%

Minimally invasive and robotic esophagectomy: state of the art

Taurchini¹,

Cuttitta²

2017

J. Vis. Surg.

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“…It was reported that RA-ILE with double-layer hand-sewn chest anastomosis has a lower complication rate (6.3%) and the absence of anastomotic leakage in a series of 16 patients (14,15). We have started performing RA-ILE with intrathoracic robot-sewn anastomosis recently.…”

Section: Commentsmentioning

confidence: 99%

Robot-assisted Ivor-Lewis esophagectomy with intrathoracic robot-sewn anastomosis

et al. 2017

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This video clip demonstrated a performance of robot-assisted Ivor-Lewis esophagectomy with intrathoracic robot-sewn anastomosis. The patient had an esophageal mass located approximately 33 cm away from incisor, and robot-assisted Ivor-Lewis esophagectomy was applied for him. Importantly, a double-layer esophago-gastric anastomosis was made by robotic hand-sewn suture. Our early experience demonstrated that the robot-sewn intrathoracic anastomosis is feasible and safe with a lower complication rate and the absence of anastomotic leakage.

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Initial results of robot-assisted Ivor-Lewis oesophagectomy with intrathoracic hand-sewn anastomosis in the prone position

Abstract: Our initial results suggest that the reported technique is safe and satisfies the oncological principles. It provides the advantages of minimally invasive surgery by overcoming some limitations of conventional thoracoscopy.

Cited by 38 publications

References 35 publications

Robotic surgery for esophageal cancer: Merits and demerits

Robotic surgery for esophageal cancer: Merits and demerits

Minimally invasive and robotic esophagectomy: state of the art

Robot-assisted Ivor-Lewis esophagectomy with intrathoracic robot-sewn anastomosis

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