Robotic-assisted single-incision gastric mobilization for minimally invasive oesophagectomy for oesophageal cancer: Preliminary results
Journal
European Journal of Cardio-thoracic Surgery
Journal Volume
58
Pages
I65-I69
Date Issued
2020
Author(s)
Abstract
OBJECTIVES: With the gradual acceptance of robotic-assisted surgery to treat oesophageal cancer and the application of a single-port approach in several abdominal procedures, we adopted a single-port technique in robotic-assisted minimally invasive oesophagectomy during the abdominal phase for gastric mobilization and abdominal lymph node dissection. METHODS: Robotic-assisted oesophagectomy and mediastinal lymph node dissection in the chest were followed by robotic-assisted gastric mobilization and conduit creation with abdominal lymph node dissection, which were performed via a periumbilicus single incision. The oesophagogastrostomy was accomplished either in the chest (Ivor Lewis procedure) or neck (McKeown procedure) depending on the status of the proximal resection margin. RESULTS: The procedure was successfully performed on 11 patients with oesophageal cancer from January 2017 to December 2018 in our institute. No surgical or in-hospital deaths occurred, though we had one case each of anastomotic leakage, pneumonia and hiatal hernia (9%). CONCLUSIONS: Robotic single-incision gastric mobilization for minimally invasive oesophagectomy for treating oesophageal cancer seems feasible. Its value in terms of perioperative outcome and long-term survival results awaits future evaluation. ? The Author(s) 2020.
SDGs
Other Subjects
adult; anastomosis leakage; Article; clinical article; esophagogastrostomy; esophagus cancer; esophagus resection; female; hiatus hernia; hospital mortality; human; long term survival; lymph node dissection; male; mediastinum lymph node; middle aged; pneumonia; priority journal; retrospective study; robot assisted surgery; single incision gastric mobilization; stomach surgery; surgical margin; treatment outcome; esophagus tumor; laparoscopy; minimally invasive surgery; stomach; Esophageal Neoplasms; Esophagectomy; Female; Humans; Laparoscopy; Lymph Node Excision; Male; Middle Aged; Minimally Invasive Surgical Procedures; Robotic Surgical Procedures; Stomach
Publisher
European Association for Cardio-Thoracic Surgery
Type
journal article