Minimally invasive and robotic esophagectomy: state of the art

Taurchini, Marco; Cuttitta, Antonello

doi:10.21037/jovs.2017.08.23

Cited by 18 publications

(12 citation statements)

References 37 publications

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“…We have performed this technique for the first time in the year 2000 by thoracoscopic approach with good results (8). The classic thoracoscopic step of the esophagectomy is really uncomfortable due to the 2D planar vision, the fulcrum effect through the thoracic wall and the use of nonarticulated instruments (9). Robotic surgery comes with improved 3D vision that offers the surgeons the impression that he is inside the patient and the camera platform is stable.…”

Section: Discussionmentioning

confidence: 99%

Robotic Approach in Benign and Malignant Esophageal Tumors; A Preliminary Seven Case Series

Tomulescu¹,

Stanescu²,

Blajut³

et al. 2018

chr

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Our experience is limited and we cannot conclude for the long term benefits of robotic surgery for esophageal tumors. In our experience the early outcomes were better then using classic open approach, but similar with the cases performed by thoracoscopic approach. We have noticed significant advantages of robotic surgery in relation of lymph node retrieval, leiomyoma dissection safe from esophageal mucosa and suturing. Ergonomics for the surgeon was incomparable better then with the thoracoscopic approach.

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Section: Discussionmentioning

confidence: 99%

Robotic Approach in Benign and Malignant Esophageal Tumors; A Preliminary Seven Case Series

Tomulescu¹,

Stanescu²,

Blajut³

et al. 2018

chr

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“…Fortunately, of those patients who are candidates, survival increases to 40% among patients who successfully undergo curative surgery [2] , and resection can also palliate the debilitating symptoms of dysphagia that often accompany the disease [7] . Hence, surgical resection remains the gold standard for cure and definitive symptom management.…”

Section: Introductionmentioning

confidence: 99%

“…Hence, surgical resection remains the gold standard for cure and definitive symptom management. The choice of technique depends on several factors with the location of the tumor, an institution's resources, and surgeon experience being the most relevant [7] . Traditionally, open esophagectomy (OE), utilizing either a transthoracic (OTTE) or transhiatal (OTHE) approach has been the surgical treatment of choice with Ivor Lewis, via thoracotomy and laparotomy; McKeown via thoracotomy, laparotomy, and cervical incision; and Transhiatal via laparotomy and cervical incision comprising the standard methods of resection.…”

Section: Introductionmentioning

confidence: 99%

Robotic esophagectomy: the evolution of open esophagectomy to current techniques and a review of the literature

Hasson¹,

Fay²,

Phillips³

et al. 2020

Mini-invasive Surg

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Esophageal cancer persists as one of the most common causes of cancer-related death and 5-year survival remains poor at 20%. Surgical resection is the gold standard for treatment and cure, and the development of minimally invasive surgery has increased the popularity of robotic-assisted minimally-invasive esophagectomy. The benefits described include less morbidity and greater patient satisfaction compared to open techniques. Nevertheless, institution capabilities and surgeon experience are strong determinants of whether a robotic program will be adopted for oncologic esophageal care. Thus, we review the available literature regarding the history of esophagectomy, evolution to minimally invasive approaches, the introduction of robotic-assisted esophagectomy including its respective outcomes in comparison to open and minimally invasive approaches, and future directions.

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“…Resection is associated with considerable morbidity and mortality, with complication rates ranging from 26-41% and perioperative mortality up to 10% when performed in a conventional open manner, but 5-year survival rates increase to up to 40% in patients who successfully undergo curative surgery [5]. The surgical approach depends upon many factors, with the most relevant being the location of the tumor, the tumor stage, and especially the surgeon's experience and preferences, and the institution's resources [6].…”

Section: Introductionmentioning

confidence: 99%

Robotic resection for esophageal cancer

et al. 2020

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Summary Background In the surgical treatment of esophageal cancer, complete tumor resection is the most important factor and determines long-term survival. With an increase in robotic expertise in other fields of surgery, robotic-assisted minimally invasive esophagectomy (RAMIE) was born. Currently, there is a lack of convincing data on the extent of expected benefits (perioperative and oncologic outcomes and/or quality of life). Some evidence exists that patients’ overall quality of life and physical function improves, with less fatigue and pain 3 months after surgery. We aimed to review the available literature regarding robotic esophagectomy, compare perioperative, oncologic, and quality of life outcomes with open and minimally invasive approaches, and give a brief overview of our standardized four-arm RAMIE technique and explore future directions. Methods A Medline (PubMed) search was conducted including the following key words: esophagectomy, minimally invasive esophagectomy, robotic esophagectomy, Ivor Lewis and McKeown. We present the history, different techniques used, outcomes, and the standardization of robotic esophagectomy. Results Robotic esophagectomy offers a steeper learning curve with fewer complications but comparable oncological results compared to conventional minimally invasive esophagectomy. Conclusions Available studies suggest that RAMIE is associated with benefits regarding length of stay, clinical outcomes, and quality of life—if patients are treated in an experienced center with a standardized technique for robotic esophagectomy—making it a potentially beneficial tool in the treatment of esophageal cancer. However, center-wide standardization and prospective data collection will be a necessity to prove superiority of robotic esophagectomy.

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Minimally invasive and robotic esophagectomy: state of the art

Cited by 18 publications

References 37 publications

Robotic Approach in Benign and Malignant Esophageal Tumors; A Preliminary Seven Case Series

Robotic Approach in Benign and Malignant Esophageal Tumors; A Preliminary Seven Case Series

Robotic esophagectomy: the evolution of open esophagectomy to current techniques and a review of the literature

Robotic resection for esophageal cancer

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