Initial results of robotic esophagectomy for esophageal cancer

Cirugía española
M Soledad Trugeda CarreraM Gómez-Fleitas

Abstract

There is scant experience with robot-assisted esophagectomy in cases of esophageal and gastro-esophageal junction cancer. Our aim is to report our current experience. Observational cohort study of the first 32 patients who underwent minimally invasive esophagectomy for esophageal cancer from September 2011 to June 2014. The gastric tube was created laparoscopically. In the thoracic field, a robot-assisted thoracoscopic approach was performed in the prone position with intrathoracic robotic hand-sewn anastomosis. Patient and tumour characteristics, surgical technique, short-term outcomes (morbidity and mortality) and oncological results (radicality and number of removed nodes) were evaluated. Thirty-two patients, with a mean age of 58 years (34-74) were treated by a totally minimally invasive esophagectomy: robotic laparoscopy and thoracoscopy (11 McKeown and 21 Ivor-Lewis). Twenty-nine received neoadjuvant chemoradiotherapy. There were no conversions to open surgery. Console time was 218minutes (190-285). Blood loss was 170ml (40-255). One patient died from cardiac disease. Nine patients had a major complication (Dindo-Clavien grade II or higher). There was no case of respiratory complication or recurrent laryngeal nerve palsy....Continue Reading

References

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May 2, 2014·The International Journal of Medical Robotics + Computer Assisted Surgery : MRCAS·S TrugedaM Gómez-Fleitas

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Citations

Feb 16, 2016·World Journal of Gastroenterology : WJG·Juan C Rodríguez-SanjuánManuel Gómez-Fleitas
Jun 7, 2018·Diseases of the Esophagus : Official Journal of the International Society for Diseases of the Esophagus·Y ZhangH Li

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