Robotic esophagectomy: results from a tertiary care Italian center

Guerra, Francesco; Gia, Elena; Minuzzo, Alessio; Tribuzi, Angela; Marino, Michele; Coratti, Andrea

doi:10.1007/s13304-021-01050-2

Cited by 2 publications

(2 citation statements)

References 26 publications

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“…Six studies reported performing either a robot-assisted hand-sewn or stapled intrathoracic esophagogastric anastomosis, with a leak rate ranging from 0 to 16%. 58 , 66 , 90 , 108 – 110 Five studies were carried out in American and Chinese institutions; both were associated with more experience in robotic esophagectomy, which may explain their lower AL rates. In comparison with established national registries, the DUCA reported incidence ranging from 18.2 to 19.3% for all intrathoracic and cervical anastomoses, regardless of technique, and the UK Oesophago-Gastric Anastomosis Audit (OGAA) reported rates of 12.2% and 20.1% for intrathoracic and cervical anastomoses, respectively.…”

Section: Discussionmentioning

confidence: 99%

Is Robotic Surgery the Future for Resectable Esophageal Cancer?: A Systematic Literature Review of Oncological and Clinical Outcomes

Patel,

Yeung

et al. 2024

Ann Surg Oncol

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Background Radical esophagectomy for resectable esophageal cancer is a major surgical intervention, associated with considerable postoperative morbidity. The introduction of robotic surgical platforms in esophagectomy may enhance advantages of minimally invasive surgery enabled by laparoscopy and thoracoscopy, including reduced postoperative pain and pulmonary complications. This systematic review aims to assess the clinical and oncological benefits of robot-assisted esophagectomy. Methods A systematic literature search of the MEDLINE (PubMed), Embase and Cochrane databases was performed for studies published up to 1 August 2023. This review was conducted according to the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) protocols and was registered in the PROSPERO database (CRD42022370983). Clinical and oncological outcomes data were extracted following full-text review of eligible studies. Results A total of 113 studies (n = 14,701 patients, n = 2455 female) were included. The majority of the studies were retrospective in nature (n = 89, 79%), and cohort studies were the most common type of study design (n = 88, 79%). The median number of patients per study was 54. Sixty-three studies reported using a robotic surgical platform for both the abdominal and thoracic phases of the procedure. The weighted mean incidence of postoperative pneumonia was 11%, anastomotic leak 10%, total length of hospitalisation 15.2 days, and a resection margin clear of the tumour was achieved in 95% of cases. Conclusions There are numerous reported advantages of robot-assisted surgery for resectable esophageal cancer. A correlation between procedural volume and improvements in outcomes with robotic esophagectomy has also been identified. Multicentre comparative clinical studies are essential to identify the true objective benefit on outcomes compared with conventional surgical approaches before robotic surgery is accepted as standard of practice.

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Section: Discussionmentioning

confidence: 99%

Is Robotic Surgery the Future for Resectable Esophageal Cancer?: A Systematic Literature Review of Oncological and Clinical Outcomes

Patel,

Yeung

et al. 2024

Ann Surg Oncol

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“…In addition to the studies on surgical techniques and perioperative care (Guerra et al, 2021; Kane et al, 2020; Kneuertz et al, 2020; Uchida et al, 2020; Yanai et al, 2021), research interests have recently shifted toward the roles of preoperative education (Kane et al, 2020), nursing quality evaluation systems (Price et al, 2018), and standardized surgical steps and processes (Gillespie et al, 2020) in the therapeutic effects of robotic surgery.…”

Section: Introductionmentioning

confidence: 99%

Qualitative Study on the Information Needs of Patients Undergoing Da Vinci Robotic Surgery

Pei

Ran

et al. 2022

Clin Nurs Res

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To explore the information needs and experiences of patients who underwent Da Vinci robotic surgery and to establish a reference for providing information support to these patients. Semi-structured interviews were conducted with 11 patients who underwent robotic surgery. Thematic analysis was subsequently executed on the data obtained from the interviews to identify the themes. Thematic analysis generated two main themes with six supporting sub-themes. The main themes were (1) surgical information acquisition experience and (2) the need for personalization to obtain satisfactory information. Patients who received Da Vinci robotic surgery had insufficient understanding of the surgical methods and possessed high demand for surgical-related information. Although patients’ understanding of robotic surgery might be improved through multi-channel information support, due to the differences in patient access to information, personalized experiences would occur during this process. Professional information support could effectively enhance their positive psychological experiences with surgery.

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Robotic esophagectomy: results from a tertiary care Italian center

Cited by 2 publications

References 26 publications

Is Robotic Surgery the Future for Resectable Esophageal Cancer?: A Systematic Literature Review of Oncological and Clinical Outcomes

Is Robotic Surgery the Future for Resectable Esophageal Cancer?: A Systematic Literature Review of Oncological and Clinical Outcomes

Qualitative Study on the Information Needs of Patients Undergoing Da Vinci Robotic Surgery

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