Consideration about the application of robotic surgical system in minimally invasive esophagectomy under multidisciplinary treatment concept_Chinese Journal of Clinical Thoracic and Cardiovascular Surgery

Authors：

GUO Xufeng ,  LI Zhigang

Department of Thoracic Surgery, Section of Esophageal Cancer, Shanghai Chest Hospital, Shanghai Jiaotong University, Shanghai, 200030, P.R.China;

Corresponding author：

LI Zhigang, Email: dr_lizhigang@163.com

Keywords：

Esophageal cancer; robotics; minimally invasive esophagectomy

DOI：

10.7507/1007-4848.201802025

Video：

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Nowadays, thoracoscopic laparoscopic esophagectomy (TLE) has been widely used in the treatment of esophageal cancer. In recent years, robot assisted minimally invasive esophagectomy (RAMIE) has been developing vigorously. According to the research progress and practical experience in the world, RAMIE has the same safety and effectiveness as TLE. In this paper, several aspects on this novel operation were demonstrated, including the safety evaluation, lymph node dissection, prognosis of RAMIE, comparison of RAMIE and TLE, and the role of RAMIE in multidisciplinary treatment of esophageal cancer, in order to promote the rational application of RAMIE in esophagectomy.

Citation： GUO Xufeng, LI Zhigang. Consideration about the application of robotic surgical system in minimally invasive esophagectomy under multidisciplinary treatment concept. Chinese Journal of Clinical Thoracic and Cardiovascular Surgery, 2018, 25(8): 646-649. doi: 10.7507/1007-4848.201802025 Copy

1.	Biere SS, van Berge Henegouwen MI, Maas KW, et al. Minimally invasive versus open oesophagectomy for patients with oesophageal cancer: a multicentre, open-label, randomised controlled trial. Lancet, 2012,379(9829):1887-1892.
2.	Straatman J, van der Wielen N, Cuesta MA, et al. Minimally invasive versus open esophageal resection: three-year follow-up of the previously reported randomized controlled rrial: the TIME Trial. Ann Surg, 2017,266(2):232-236.
3.	Wang H, Shen Y, Feng M, et al. Outcomes, quality of life, and survival after esophagectomy for squamous cell carcinoma: A propensity score-matched comparison of operative approaches. J Thorac Cardiovasc Surg, 2015,149(4):1006-1015.
4.	Cuschieri A, Shimi S, Banting S. Endoscopic oesophagectomy through a right thoracoscopic approach.J R Coll Surg Edinb,1992,37(1):7-11.
5.	De Paula AL, Hashiba K, Ferreira EA, et al. Laparoscopic transhiatal esophagectomy with esophagogastroplasty. Surg Laparosc Endorse,1995,5(1):1-5.
6.	Luketich JD, Alvelo-Rivera M, Bunaventura PO, et al. Minimally invasive esophagectomy: outcomes in 222 patients. Ann Surg,2003,238(4):486-494.
7.	Luketich JD, Pennathur A, Awais O, et al. Outcomes after minimally invasive esophagectomy: review of over 1000 patients. Ann Surg, 2012,256(1):95-103.
8.	Takeuchi H, Miyata H, Ozawa S, et al. Comparison of short-term outcomes between open and minimally invasive esophagectomy for esophageal cancer using a nationwide database in Japan. Ann Surg Oncol,2017,24(7):1821-1827.
9.	Kataoka K, Takeuchi H, Mizusawa J, et al. A randomized phase Ⅲ trial of thoracoscopic versus open esophagectomy for thoracic esophageal cancer: Japan Clinical Oncology Group Study JCOG1409.Jpn J Clin Oncol, 2016, 46(2):174-177.
10.	Noshiro H, Iwasaki H, Kobayashi K, et al. Lymphadenectomy along the left recurrent laryngeal nerve by a minimally invasive esophagectomy in the prone position for thoracic esophageal cancer. Surg Endosc, 2010,24(12):2965-2973.
11.	Campos JH. An update on robotic thoracic surgery and anesthesia. Curr Opin Anaesthesiol, 2010,23(1):1-6.
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, 2016,29(4):326-332.
13.	Hulscher JB,van Sandick JW, de Boer AG, et al. Extended transthoracic resection compared with limited transhiatal resection for adenocarcinoma of the esophagus.N Engl J Med,2002,347(21):1662-1669.
14.	茅腾, 方文涛, 罗清泉, 等. 机器人外科手术系统辅助食管癌切除术一例. 上海医学, 2011, 34(1): 85-86.
15.	杨煜, 张晓彬, 孙益峰, 等. 机器人辅助食管癌的微创外科切除:上海交通大学附属胸科医院75例临床报道. 中华胸部外科电子杂志, 2016, 3(3): 151-155.
16.	Park S, Hwang Y, Lee HJ, et al. Comparison of robot-assisted esophagectomy and thoracoscopic esophagectomy in esophageal squamous cell carcinoma. J Thorac Dis, 2016,8(10):2853-2861.
17.	Chao YK, Hsieh MJ, Liu YH, et al. Lymph node evaluation in robot-assisted versus video-assisted thoracoscopic esophagectomy for esophageal squamous cell carcinoma: a propensity-matched analysis.World J Surg, 2018,42(2):590-598.
18.	van der Sluis PC, Ruurda JP, Verhage RJ, et al. Oncologic long-term results of robot-assisted minimally invasive thoraco-laparoscopic esophagectomy with two-field lymphadenectomy for esophageal cancer. Ann Surg Oncol,2015,22 Suppl 3:S1350-1356.
19.	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.
20.	Park SY, Kim DJ, Do YW, et al. The oncologic outcome of esophageal squamous cell carcinoma patients after robot-assisted thoracoscopic esophagectomy with total mediastinal lymphadenectomy. Ann Thorac Surg, 2017,103(4):1151-1157.
21.	张晓彬, 杨煜, 叶波, 等. 达芬奇机器人手术系统辅助与胸腹腔镜联合辅助食管癌根治术的疗效分析.中华消化外科杂志, 2017, 16(8): 844-849.

1. Biere SS, van Berge Henegouwen MI, Maas KW, et al. Minimally invasive versus open oesophagectomy for patients with oesophageal cancer: a multicentre, open-label, randomised controlled trial. Lancet, 2012,379(9829):1887-1892.
2. Straatman J, van der Wielen N, Cuesta MA, et al. Minimally invasive versus open esophageal resection: three-year follow-up of the previously reported randomized controlled rrial: the TIME Trial. Ann Surg, 2017,266(2):232-236.
3. Wang H, Shen Y, Feng M, et al. Outcomes, quality of life, and survival after esophagectomy for squamous cell carcinoma: A propensity score-matched comparison of operative approaches. J Thorac Cardiovasc Surg, 2015,149(4):1006-1015.
4. Cuschieri A, Shimi S, Banting S. Endoscopic oesophagectomy through a right thoracoscopic approach.J R Coll Surg Edinb,1992,37(1):7-11.
5. De Paula AL, Hashiba K, Ferreira EA, et al. Laparoscopic transhiatal esophagectomy with esophagogastroplasty. Surg Laparosc Endorse,1995,5(1):1-5.
6. Luketich JD, Alvelo-Rivera M, Bunaventura PO, et al. Minimally invasive esophagectomy: outcomes in 222 patients. Ann Surg,2003,238(4):486-494.
7. Luketich JD, Pennathur A, Awais O, et al. Outcomes after minimally invasive esophagectomy: review of over 1000 patients. Ann Surg, 2012,256(1):95-103.
8. Takeuchi H, Miyata H, Ozawa S, et al. Comparison of short-term outcomes between open and minimally invasive esophagectomy for esophageal cancer using a nationwide database in Japan. Ann Surg Oncol,2017,24(7):1821-1827.
9. Kataoka K, Takeuchi H, Mizusawa J, et al. A randomized phase Ⅲ trial of thoracoscopic versus open esophagectomy for thoracic esophageal cancer: Japan Clinical Oncology Group Study JCOG1409.Jpn J Clin Oncol, 2016, 46(2):174-177.
10. Noshiro H, Iwasaki H, Kobayashi K, et al. Lymphadenectomy along the left recurrent laryngeal nerve by a minimally invasive esophagectomy in the prone position for thoracic esophageal cancer. Surg Endosc, 2010,24(12):2965-2973.
11. Campos JH. An update on robotic thoracic surgery and anesthesia. Curr Opin Anaesthesiol, 2010,23(1):1-6.
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, 2016,29(4):326-332.
13. Hulscher JB,van Sandick JW, de Boer AG, et al. Extended transthoracic resection compared with limited transhiatal resection for adenocarcinoma of the esophagus.N Engl J Med,2002,347(21):1662-1669.
14. 茅腾, 方文涛, 罗清泉, 等. 机器人外科手术系统辅助食管癌切除术一例. 上海医学, 2011, 34(1): 85-86.
15. 杨煜, 张晓彬, 孙益峰, 等. 机器人辅助食管癌的微创外科切除:上海交通大学附属胸科医院75例临床报道. 中华胸部外科电子杂志, 2016, 3(3): 151-155.
16. Park S, Hwang Y, Lee HJ, et al. Comparison of robot-assisted esophagectomy and thoracoscopic esophagectomy in esophageal squamous cell carcinoma. J Thorac Dis, 2016,8(10):2853-2861.
17. Chao YK, Hsieh MJ, Liu YH, et al. Lymph node evaluation in robot-assisted versus video-assisted thoracoscopic esophagectomy for esophageal squamous cell carcinoma: a propensity-matched analysis.World J Surg, 2018,42(2):590-598.
18. van der Sluis PC, Ruurda JP, Verhage RJ, et al. Oncologic long-term results of robot-assisted minimally invasive thoraco-laparoscopic esophagectomy with two-field lymphadenectomy for esophageal cancer. Ann Surg Oncol,2015,22 Suppl 3:S1350-1356.
19. 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.
20. Park SY, Kim DJ, Do YW, et al. The oncologic outcome of esophageal squamous cell carcinoma patients after robot-assisted thoracoscopic esophagectomy with total mediastinal lymphadenectomy. Ann Thorac Surg, 2017,103(4):1151-1157.
21. 张晓彬, 杨煜, 叶波, 等. 达芬奇机器人手术系统辅助与胸腹腔镜联合辅助食管癌根治术的疗效分析.中华消化外科杂志, 2017, 16(8): 844-849.

Chinese Journal of Clinical Thoracic and Cardiovascular Surgery

Consideration about the application of robotic surgical system in minimally invasive esophagectomy under multidisciplinary treatment concept

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