Robotic-assisted transhiatal esophagectomy

Abstract

The robotic-assisted transhiatal esophagectomy technique is feasible and safe. Complex procedures become less technically demanding with the help of the robotic system and, thus, the minimally invasive approach can be offered for the benefit of selected patients. Further studies are required to confirm these observations and to establish the role of this procedure in the future.

Robot-assisted versus conventional laparoscopic fundoplication: short-term outcome of a pilot randomized controlled trial

“…These key features might allow complex minimally-invasive procedures to be performed more easily than with conventional laparoscopic surgery. The feasibility of a variety of robotic-assisted surgical procedures such as cholecystectomy [3,5,10,[14][15][16][23][24][25], colorectal resection [10,15,27,28], adrenalectomy [8], cardiomyotomy [26], fundoplication [1,3,5,10,11,20,25,29], and even esophagectomy [13] has been demonstrated in the last decade. Nevertheless, robotic-assisted surgery seems to have specific disadvantages such as longer operative time and higher costs [12].…”

Robotic foregut surgery

“…Gutt and colleagues recently reported their experience with a robotic-assisted transhiatal oesophagectomy in a patient who had lower oesophageal cancer with a high medical risk for surgery (35). Oesophageal resection and reconstruction was possible without intraoperative incident and with minimal blood loss.…”

Minimally invasive and robotic esophagectomy: state of the art

“…The robotic cart is brought to the table from the dorso cranial side of the patient. Some case reports or limited series in RAMIE (22)(23)(24) showed that robotic assisted esophagectomy was safe and feasible. These and further experiences in terms of number of cases, techniques, number of harvested lymph nodes, overall major perioperative complications rate and mortality rate are resumed in (36,37).…”