Robot-assisted Thoracoscopic Esophagectomy for Esophageal Carcinoma_Chinese Journal of Clinical Thoracic and Cardiovascular Surgery

Authors：

YIJun , XIONGLei ,  LIDe-min , LIUXiao-long , WANGKang , QINTao , JINGHua

Department of Cardiothoracic Surgery, Nanjing General Hospital of Nanjing Military Command, Nanjing 210002, P. R. China;

Corresponding author：

LIDe-min, Email: 12876975@qq.com

Keywords：

Da vinci surgical assistant system; Robotic surgery; Esophageal carcinoma

DOI：

10.7507/1007-4848.20150228

Video：

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Abstract Full text Figures/Tables Video References Cited by

Objective To evaluate the efficacy and safety of robot-assisted thoracoscopic esophagectomy in the treatment of esophageal carcinoma. Methods We retrospectively analyzed the clinical data of 79 patients with robotassisted thoracoscopic esophagectomy in our hospital from August 2010 to June 2015. There were 43 males and 36 females at average age of 62 years. The clinical effect was analyzed. Results The mean operation time was 245 min (range 170 min to 330 min). The mean blood loss was 75 ml (range 20 ml to 310 ml). The mean hospital stay was 10.2 days (range 7 days to 26 days). Two perioperative deaths occurred. A total of 14 (17.7%) patients with complication were reported. Mean lymph node harvest was 20.7 nodes with 10.9 in chest, 9.6 in abdomen. Conclusion Robot-assisted thoracoscopic esophagectomy is technically feasible and safe. It is expected to reduce surgical trauma and reduce the incidence of pulmonary complications.

Citation： YIJun, XIONGLei, LIDe-min, LIUXiao-long, WANGKang, QINTao, JINGHua. Robot-assisted Thoracoscopic Esophagectomy for Esophageal Carcinoma. Chinese Journal of Clinical Thoracic and Cardiovascular Surgery, 2015, 22(10): 910-913. doi: 10.7507/1007-4848.20150228 Copy

1.	Wei B,D'Amico TA.Thoracoscopic versus robotic approaches:advantages and disadvantages.Thorac Surg Clin,2014,24(2):177-188.
2.	Puntambekar S,Kenawadekar R,Kumar S,et al.Robotic transthoracic esophagectomy.BMC Surg,2015,15:47.
3.	Trugeda S,Fernández-Díaz MJ,Rodríguez-Sanjuán JC,et al.Initial results of robot-assisted Ivor-Lewis oesophagectomy with intrathoracic hand-sewn anastomosis in the prone position.Int J Med Robot,2014,10(4):397-403.
4.	Falkenback D,Lehane CW,Lord Rv.Robot-assisted gastrectomy and oesophagectomy for cancer.ANZ J Surg,2014,84(10):712-721.
5.	Kim DJ,Hyung WJ,Lee CY,et al.Thoracoscopic esophagectomy for esophageal cancer:feasibility and safety of robotic assistance in the prone position.J Thorac Cardiovasc Surg,2010,139(1):53-59.
6.	Lehenbauer D,Kernstine KH.Robotic esophagectomy:modified McKeown approach.Thorac Surg Clin,2014,24(2):203-209.
7.	Sarkaria IS,Rizk NP.Robotic-assisted minimally invasive esophagectomy:the Ivor Lewis approach.Thorac Surg Clin,2014,24(2):211-222.
8.	王述民,许世广,童向东,等.机器人肺叶切除术治疗非小细胞肺癌.中国胸心血管外科临床杂志,2013,20(3):308-311.
9.	罗清泉,林皓,黄佳,等.机器人辅助胸腔镜肺叶切除12例临床分析.中国胸心血管外科临床杂志,2014,21(1):25-28.
10.	易俊,董国华,许飚,等.达芬奇-S外科手术辅助系统在普胸外科的应用.医学研究生学报,2011,24(7):696-699.
11.	Suda K,Ishida Y,Kawamura Y,et al.Robot-assisted thoracoscopic lymphadenectomy along the left recurrent laryngeal nerve for esophageal squamous cell carcinoma in the prone position:technical report and short-term outcomes.World J Surg,2012,36(7):1608-1616.
12.	Park SY,Kim DJ,Yu WS,et al.Robot-assisted thoracoscopic esophagectomy with extensive mediastinal lymphadenectomy:experience with 114 consecutive patients with intrathoracic esophageal cancer.Dis Esophagus,2015,doi:10.1111/dote.12335.[Epubaheadofprint].
13.	Kim DJ,Park SY,Lee S,et al.Feasibility of a robot-assisted thoracoscopic lymphadenectomy along the recurrent laryngeal nerves in radical esophagectomy for esophageal squamous carcinoma.Surg Endosc,2014,28(6):1866-1873.
14.	Suda K,Ishida Y,Kawamura Y,et al.Robot-assisted thoracoscopic lymphadenectomy along the left recurrent laryngeal nerve for esophageal squamous cell carcinoma in the prone position:technical report and short-term outcomes.World J Surg,2012,36(7):1608-1616.
15.	van der Sluis PC,Ruurda JP,van der Horst S,et al.Robot-assisted minimally invasive thoraco-laparoscopic esophagectomy versus open transthoracic esophagectomy for resectable esophageal cancer,a randomized controlled trial(ROBOT trial).Trials,2012,13:230.

1. Wei B,D'Amico TA.Thoracoscopic versus robotic approaches:advantages and disadvantages.Thorac Surg Clin,2014,24(2):177-188.
2. Puntambekar S,Kenawadekar R,Kumar S,et al.Robotic transthoracic esophagectomy.BMC Surg,2015,15:47.
3. Trugeda S,Fernández-Díaz MJ,Rodríguez-Sanjuán JC,et al.Initial results of robot-assisted Ivor-Lewis oesophagectomy with intrathoracic hand-sewn anastomosis in the prone position.Int J Med Robot,2014,10(4):397-403.
4. Falkenback D,Lehane CW,Lord Rv.Robot-assisted gastrectomy and oesophagectomy for cancer.ANZ J Surg,2014,84(10):712-721.
5. Kim DJ,Hyung WJ,Lee CY,et al.Thoracoscopic esophagectomy for esophageal cancer:feasibility and safety of robotic assistance in the prone position.J Thorac Cardiovasc Surg,2010,139(1):53-59.
6. Lehenbauer D,Kernstine KH.Robotic esophagectomy:modified McKeown approach.Thorac Surg Clin,2014,24(2):203-209.
7. Sarkaria IS,Rizk NP.Robotic-assisted minimally invasive esophagectomy:the Ivor Lewis approach.Thorac Surg Clin,2014,24(2):211-222.
8. 王述民,许世广,童向东,等.机器人肺叶切除术治疗非小细胞肺癌.中国胸心血管外科临床杂志,2013,20(3):308-311.
9. 罗清泉,林皓,黄佳,等.机器人辅助胸腔镜肺叶切除12例临床分析.中国胸心血管外科临床杂志,2014,21(1):25-28.
10. 易俊,董国华,许飚,等.达芬奇-S外科手术辅助系统在普胸外科的应用.医学研究生学报,2011,24(7):696-699.
11. Suda K,Ishida Y,Kawamura Y,et al.Robot-assisted thoracoscopic lymphadenectomy along the left recurrent laryngeal nerve for esophageal squamous cell carcinoma in the prone position:technical report and short-term outcomes.World J Surg,2012,36(7):1608-1616.
12. Park SY,Kim DJ,Yu WS,et al.Robot-assisted thoracoscopic esophagectomy with extensive mediastinal lymphadenectomy:experience with 114 consecutive patients with intrathoracic esophageal cancer.Dis Esophagus,2015,doi:10.1111/dote.12335.[Epubaheadofprint].
13. Kim DJ,Park SY,Lee S,et al.Feasibility of a robot-assisted thoracoscopic lymphadenectomy along the recurrent laryngeal nerves in radical esophagectomy for esophageal squamous carcinoma.Surg Endosc,2014,28(6):1866-1873.
14. Suda K,Ishida Y,Kawamura Y,et al.Robot-assisted thoracoscopic lymphadenectomy along the left recurrent laryngeal nerve for esophageal squamous cell carcinoma in the prone position:technical report and short-term outcomes.World J Surg,2012,36(7):1608-1616.
15. van der Sluis PC,Ruurda JP,van der Horst S,et al.Robot-assisted minimally invasive thoraco-laparoscopic esophagectomy versus open transthoracic esophagectomy for resectable esophageal cancer,a randomized controlled trial(ROBOT trial).Trials,2012,13:230.

Chinese Journal of Clinical Thoracic and Cardiovascular Surgery

Robot-assisted Thoracoscopic Esophagectomy for Esophageal Carcinoma

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