Robotically assisted laparoscopic transhiatal esophagectomy

Galvani, Carlos; Gorodner, M. V.; Moser, Federico; Jacobsen, Garth R.; Chrétien, Chloé; Espat, N. Joseph; Donahue, Philip E.; Horgan, Santiago

doi:10.1007/s00464-007-9441-3

Cited by 108 publications

(73 citation statements)

References 26 publications

(26 reference statements)

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“…More recently, robotic assisted approaches to these operations have been increasingly described with early series reporting varying techniques and outcomes (7)(8)(9)(10)(11)(12). Larger single institution series, including from Memorial Sloan Kettering Cancer Center and others, have reported systematic approaches in the development of a robotic assisted minimally invasive esophagectomy (RAMIE) program yielding excellent outcomes with increasing proficiency over the course of the learning curve (13)(14)(15).…”

Section: Introductionmentioning

confidence: 99%

Robotic assisted minimally invasive esophagectomy (RAMIE): the University of Pittsburgh Medical Center initial experience

Okusanya¹,

Sarkaria²,

Hess³

et al. 2017

Ann. Cardiothorac. Surg.

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Section: Introductionmentioning

confidence: 99%

Robotic assisted minimally invasive esophagectomy (RAMIE): the University of Pittsburgh Medical Center initial experience

Okusanya¹,

Sarkaria²,

Hess³

et al. 2017

Ann. Cardiothorac. Surg.

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“…A total of three such papers have been published 10, 11, 12. Respectively, numbers of patients were 18, 23, and 40; mean operative time, estimated blood loss, hospital stay, and lymph node yield were 279 min (231–311), 88 mL (54–100), 9.2 days (9–10), and 17 (14–20).…”

Section: Early Results With Small Series Of Transhiatal Esophagectomymentioning

confidence: 99%

“…One paper reported a high incidence (19.4%, 7/36) of incarcerated hiatal hernia after robotic THE 13. Indications for robotic THE were mostly adenocarcinomas located in the distal esophagus and gastroesophageal junctions 10, 11, 12…”

Section: Early Results With Small Series Of Transhiatal Esophagectomymentioning

confidence: 99%

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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“…Several authors gave perspectives on the use of robotics for esophagectomy including robotic-assisted transhiatal esophagectomy being preformed by surgeons from the USA [2], and roboticassisted surgery for thoracic esophageal cancer currently being carried out in Japan [3]. Such techniques may allow for better visualization of critical structures during surgery and a quicker recovery time for patients.…”

Section: Esophageal Cancermentioning

confidence: 99%

Management of abdominal malignancies: updates from the International Association of Surgeons, Gastroenterologists and Oncologists

Bouvet¹,

Sicklick

2013

Expert Review of Anticancer Therapy

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Robotically assisted laparoscopic transhiatal esophagectomy

Abstract: The current study shows that RATE, with its decreased blood loss, minimal cardiopulmonary complications, and no hospital mortality, represents a safe and effective alternative for the treatment of esophageal adenocarcinoma.

Cited by 108 publications

References 26 publications

Robotic assisted minimally invasive esophagectomy (RAMIE): the University of Pittsburgh Medical Center initial experience

Robotic assisted minimally invasive esophagectomy (RAMIE): the University of Pittsburgh Medical Center initial experience

Robotic surgery for esophageal cancer: Merits and demerits

Management of abdominal malignancies: updates from the International Association of Surgeons, Gastroenterologists and Oncologists

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