The IDEAL prospective development study format for reporting surgical innovations. An illustrative case study of robotic oesophagectomy

Val, Ismael Díez del; Loureiro, Carlos; McCulloch, Peter

doi:10.1016/j.ijsu.2015.04.035

Cited by 20 publications

(21 citation statements)

References 23 publications

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“…As a result, the advent of minimally invasive surgery, including laparoscopy, thoracoscopy and, more recently, robotic‐assisted surgery, has gained attention in an effort to minimize morbidity . Indeed, it seems that minimally invasive esophagectomy can be associated with some advantages over conventional surgery, especially in terms of diminished blood loss, lower general morbidity and shorter postoperative hospitalization …”

Section: Discussionmentioning

confidence: 99%

Early experience with totally robotic esophagectomy for malignancy. Surgical and oncological outcomes

Guerra

Vegni

Gia

et al. 2018

Robotics Computer Surgery

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Section: Discussionmentioning

confidence: 99%

Early experience with totally robotic esophagectomy for malignancy. Surgical and oncological outcomes

Guerra

Vegni

Gia

et al. 2018

Robotics Computer Surgery

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“…The robotic system can offer high‐definition 3‐d vision, tremor filtration and a 7‐degree articulation of the instruments, which appears useful for precise manifestation in tiny spaces . Taking advantage of these features, surgical robots seems to become the preferred surgical instrument in esophagogastric anastomosis by the means of hand‐sewn, circular stapled, or linear stapled approaches …”

Section: Introductionmentioning

confidence: 99%

Intrathoracic side‐to‐side esophagogastrostomy with a linear stapler and barbed suture in robot‐assisted Ivor Lewis esophagectomy

Wang

Zhang

Zheng

et al. 2019

Journal of Surgical Oncology

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BackgroundThe side‐to‐side anastomosis was considered a promising approach to create an intrathoracic esophagogastrostomy in the minimally invasive esophagectomy, with advantages over the side‐to‐end anastomosis with aspects of no need for additional mini‐thoracotomy and lower occurrence of stenosis. The hand‐sewing anterior aspect of the anastomosis is technically challenging in the thoracoscopic Ivor Lewis esophagectomy. Here we introduced our initial experience to facilitate this approach by using the surgical robot and barbed suture.MethodsA retrospective study of all patients underwent robot‐assisted Ivor Lewis esophagectomy with side‐to‐side esophagogastrostomy from February 2016 to September 2018 was performed. The technical details are described in this paper.ResultsA total of 37 patients (35 male and 2 female, median age of 62.7 years) were successfully treated with completely robot‐assisted Ivor Lewis esophagectomy. The median total surgical time was 340 minutes including 65 minutes to perform the anastomosis. Median estimated blood loss was 120 mL and the length of hospital stay was 10 days. There was no 90‐day mortality. Three patients suffered anastomotic leakage (8.1%,3/37), who were successfully treated without reoperation.ConclusionOur initial results imply that it is technically feasible to perform intrathoracic gastroesophageal anastomosis by taking advantage of a robotic system and knotless suturing.

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“…There are different possibilities: manual anastomosis, end‐to‐side anastomosis using a conventional or specific circular Orvil® stapler (Medtronic, Medline Industries inc., Arnhem, the Netherlands) and, finally, the linear stapler to carry out a side‐to‐side anastomosis . The possibility of carrying out the anastomosis very high in the thoracic cavity is more difficult and will be facilitated by the use of the ergonomy of the robot …”

Section: What We Do Differently In Japan and The Netherlands Regardinmentioning

confidence: 99%

Mediastinal lymphadenectomy for esophageal cancer: Differences between two countries, Japan and the Netherlands

Cuesta

Peet

Gisbertz³

et al. 2018

Annals of Gastroent Surgery

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Extent of mediastinal lymphadenectomy during esophagectomy is clearly different between two representative countries of the Eastern and Western world, such as Japan and the Netherlands. In Japan, a clear policy is the standard complete two‐ or three‐field type of lymphadenectomy whereas, in the Netherlands, a limited form is usually carried out. Reasons for these differences can be found in the different types of tumor, 80% of adenocarcinomas in the West and almost 95% of squamous cell cancer in Japan. Moreover, location of the tumors, distally located in the Netherlands whereas, in Japan, the majority are located in the middle and proximal thoracic esophagus. Also, type of neoadjuvant therapy, namely chemoradiotherapy in the Netherlands, and chemotherapy in Japan, are different. Arguments for more extended mediastinal lymphadenectomy are currently challenged in the West, first by the systematic use of chemoradiotherapy as neoadjuvant therapy and, second, the retrospective analysis of large data. According to two studies, the importance of extended lymphadenectomy is shown to be relative and less clear, especially in esophageal adenocarcinomas after neoadjuvant therapy. International efforts such as the TIGER study will help to standardize and find a relationship between the type and location of esophageal cancer, use of neoadjuvant therapy, extent of lymphadenectomy and survival.

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The IDEAL prospective development study format for reporting surgical innovations. An illustrative case study of robotic oesophagectomy

Cited by 20 publications

References 23 publications

Early experience with totally robotic esophagectomy for malignancy. Surgical and oncological outcomes

Early experience with totally robotic esophagectomy for malignancy. Surgical and oncological outcomes

Intrathoracic side‐to‐side esophagogastrostomy with a linear stapler and barbed suture in robot‐assisted Ivor Lewis esophagectomy

Mediastinal lymphadenectomy for esophageal cancer: Differences between two countries, Japan and the Netherlands

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