Robot-assisted transcervical esophagectomy with a bilateral cervical approach for thoracic esophagectomy.
Surg Endosc
; 38(3): 1617-1625, 2024 Mar.
Article
em En
| MEDLINE
| ID: mdl-38321335
ABSTRACT
BACKGROUND:
Thoracic esophageal cancer resection through the neck approach has recently been reported as mediastinoscopic surgery. We present the first report of a new minimally invasive technique for thoracic esophageal cancer robot-assisted transcervical esophagectomy with a bilateral cervical approach.METHODS:
Ten cases of robot-assisted bilateral transcervical esophagectomy performed at the National Cancer Center Hospital East, Japan, from February 2023 to August 2023 were reviewed. The short-term surgical outcomes were presented, and the feasibility and efficacy of this procedure were discussed.RESULTS:
The mean operation time for the cervical procedure was 184.2 ± 23.6 min. The total time for the whole procedure was 472.7 ± 28.4 min, and total intraoperative blood loss was 162.2 ± 40.0 ml. Among the 10 cases, one patient developed recurrent nerve paralysis, one patient developed pulmonary complications, and no patients developed postoperative pneumonia. The median postoperative hospital stay was 22 (range 12-43) days. No patients developed severe postoperative surgical complications, which were graded as Clavien-Dindo ≥ III. The total number of surgically harvested mediastinal lymph nodes was 37.2 ± 11.2.CONCLUSIONS:
Robot-assisted bilateral transcervical esophagectomy, a novel procedure for thoracic esophageal cancer, was safe and feasible. Using this procedure, the incidence of recurrent nerve palsy, which is a problem with transcervical esophagectomy and mediastinoscopic esophagectomy, is expected to decrease.Palavras-chave
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Base de dados:
MEDLINE
Assunto principal:
Robótica
/
Neoplasias Esofágicas
Idioma:
En
Ano de publicação:
2024
Tipo de documento:
Article