Robot-assisted hand-sewn intrathoracic anastomosis after esophagectomy

被引:3
作者
de Groot, Eline M. [1 ]
Kingma, Feike B. [1 ]
Goense, Lucas [1 ]
van der Horst, Sylvia [1 ]
van der Berg, Jan Willem [1 ]
van Hillegersberg, Richard [1 ]
Ruurda, Jelle P. [1 ]
机构
[1] Univ Med Ctr Utrecht, Dept Surg, POB 85500, NL-3508 GA Utrecht, Netherlands
来源
ANNALS OF ESOPHAGUS | 2022年 / 5卷
关键词
Intrathoracic anastomosis; robot -assisted minimally invasive esophagectomy (RAMIE); technique; CANCER;
D O I
10.21037/aoe-20-98
中图分类号
R57 [消化系及腹部疾病];
学科分类号
摘要
Background: In two -stage minimally invasive esophagectomy (MIE), most surgeons use a stapling device to avoid the challenges of thoracoscopic suturing in the upper mediastinum. However, in robot -assisted minimally invasive esophagectomy (RAMIE), the surgeon benefits from increased dexterity that facilitates the construction of a hand -sewn intrathoracic anastomosis. This study aimed to evaluate the outcomes of a refined technique for the robot -assisted hand -sewn intrathoracic anastomosis in RAMIE, which was introduced in 2016 in our center. Methods: Patients who underwent RAMIE with a robot -assisted hand -sewn intrathoracic anastomosis between 1 November 2019 and 1 November 2020 were included in the current retrospective study. During this time frame, the technique was uniform and no more refinements were made. Data were extracted from a prospectively maintained database. Main elements of the anastomotic technique included supportive stay -stitches to keep esophageal mucosa to the muscular wall, manual barbed suturing of the posterior and anterior wall, placement of tension releasing stitches and covering of the anastomosis with omentum. The primary outcome was anastomotic leakage and secondary outcomes included the duration of anastomosis construction. Results: During the inclusion period, 22 patients were included in the study. Anastomotic leakage occurred in 3 patients (14%), which involved a grade I leak in 2 patients (9%) and grade 3 leakage in 1 patient (5%). The total duration of anastomosis construction was 37 minutes (range, 25-48 minutes). Conclusions: This study shows that a robot -assisted hand -sewn intrathoracic anastomosis can yield good outcomes in RAMIE.
引用
收藏
页数:8
相关论文
共 20 条
[1]   Cervical or Thoracic Anastomosis after Esophagectomy for Cancer: A Systematic Review and Meta-Analysis [J].
Biere, S. S. A. Y. ;
Maas, K. W. ;
Cuesta, M. A. ;
van der Peet, D. L. .
DIGESTIVE SURGERY, 2011, 28 (01) :29-35
[2]   Robot-sewn Ivor-Lewis anastomosis: preliminary experience and technical details [J].
Bongiolatti, Stefano ;
Annecchiarico, Mario ;
Di Marino, Michele ;
Boffi, Bernardo ;
Borgianni, Sara ;
Gonfiotti, Alessandro ;
Voltolini, Luca ;
Coratti, Andrea .
INTERNATIONAL JOURNAL OF MEDICAL ROBOTICS AND COMPUTER ASSISTED SURGERY, 2016, 12 (03) :421-426
[3]   Technical aspects and early results of robotic esophagectomy with chest anastomosis [J].
Cerfolio, Robert James ;
Bryant, Ayesha S. ;
Hawn, Mary T. .
JOURNAL OF THORACIC AND CARDIOVASCULAR SURGERY, 2013, 145 (01) :90-96
[4]   Technical details of the hand-sewn and circular-stapled anastomosis in robot-assisted minimally invasive esophagectomy [J].
de Groot, Eline M. ;
Moeller, Thorben ;
Kingma, B. Feike ;
Grimminger, Peter P. ;
Becker, Thomas ;
van Hillegersberg, Richard ;
Egberts, Jan-Hendrik ;
Ruurda, Jelle P. .
DISEASES OF THE ESOPHAGUS, 2020, 33
[5]   Fully robotic da Vinci Ivor-Lewis esophagectomy in four-arm technique-problems and solutions [J].
Egberts, J-H. ;
Stein, H. ;
Aselmann, H. ;
Hendricks, A. ;
Becker, T. .
DISEASES OF THE ESOPHAGUS, 2017, 30 (12)
[6]   Worldwide trends in surgical techniques in the treatment of esophageal and gastroesophageal junction cancer [J].
Haverkamp, L. ;
Seesing, M. F. J. ;
Ruurda, J. P. ;
Boone, J. ;
Hillegersberg, R. v. .
DISEASES OF THE ESOPHAGUS, 2017, 30 (01) :1-7
[7]   Worldwide Techniques and Outcomes in Robot-assisted Minimally Invasive Esophagectomy (RAMIE) Results From the Multicenter International Registry [J].
Kingma, B. Feike ;
Grimminger, Peter P. ;
van der Sluis, Pieter C. ;
van Det, Marc J. ;
Kouwenhoven, Ewout A. ;
Chao, Yin-Kai ;
Tsai, Chun-Yi ;
Fuchs, Hans F. ;
Bruns, Christiane J. ;
Sarkaria, Inderpal S. ;
Luketich, James D. ;
Haveman, Jan W. ;
van Etten, Boudewijn ;
Chiu, Philip W. ;
Chan, Shannon M. ;
Rouanet, Philippe ;
Mourregot, Anne ;
Hoelzen, Jens-Peter ;
Sallum, Rubens A. ;
Cecconello, Ivan ;
Egberts, Jan-Hendrik ;
Benedix, Frank ;
Henegouwen, Mark I. van Berge ;
Gisbertz, Suzanne S. ;
Perez, Daniel ;
Jansen, Kristina ;
Hubka, Michal ;
Low, Donald E. ;
Biebl, Matthias ;
Pratschke, Johann ;
Turner, Paul ;
Pursnani, Kish ;
Chaudry, Asif ;
Smith, Myles ;
Mazza, Elena ;
Strignano, Paolo ;
Ruurda, Jelle P. ;
van Hillegersberg, Richard .
ANNALS OF SURGERY, 2022, 276 (05) :E386-E392
[8]   Is hand sewing comparable with stapling for anastomotic leakage after esophagectomy? A meta-analysis [J].
Liu, Quan-Xing ;
Min, Jia-Xin ;
Deng, Xu-Feng ;
Dai, Ji-Gang .
WORLD JOURNAL OF GASTROENTEROLOGY, 2014, 20 (45) :17218-17226
[9]   Benchmarking Complications Associated With Esophagectomy [J].
Low, Donald E. ;
Kuppusamy, Madhan Kumar ;
Alderson, Derek ;
Cecconello, Ivan ;
Chang, Andrew C. ;
Darling, Gail ;
Davies, Andrew ;
D'Journo, Xavier Benoit ;
Gisbertz, Suzanne S. ;
Griffin, S. Michael ;
Hardwick, Richard ;
Hoelscher, Arnulf ;
Hofstetter, Wayne ;
Jobe, Blair ;
Kitagawa, Yuko ;
Law, Simon ;
Mariette, Christophe ;
Maynard, Nick ;
Morse, Christopher R. ;
Nafteux, Philippe ;
Pera, Manuel ;
Pramesh, C. S. ;
Puig, Sonia ;
Reynolds, John V. ;
Schroeder, Wolfgang ;
Smithers, Mark ;
Wijnhoven, B. P. L. .
ANNALS OF SURGERY, 2019, 269 (02) :291-298
[10]   International Consensus on Standardization of Data Collection for Complications Associated With Esophagectomy Esophagectomy Complications Consensus Group (ECCG) [J].
Low, Donald E. ;
Alderson, Derek ;
Cecconello, Ivan ;
Chang, Andrew C. ;
Darling, Gail E. ;
D'Journo, Xavier Benoit ;
Griffin, S. Michael ;
Hoelscher, Arnulf H. ;
Hofstetter, Wayne L. ;
Jobe, Blair A. ;
Kitagawa, Yuko ;
Kucharczuk, John C. ;
Law, Simon Ying Kit ;
Lerut, Toni E. ;
Maynard, Nick ;
Pera, Manuel ;
Peters, Jeffrey H. ;
Pramesh, C. S. ;
Reynolds, John V. ;
Smithers, B. Mark ;
van Lanschot, J. Jan B. .
ANNALS OF SURGERY, 2015, 262 (02) :286-294