Robotic transthoracic esophagectomy

被引:29
作者
Puntambekar, Shailesh [1 ]
Kenawadekar, Rahul [1 ,2 ]
Kumar, Sanjay [1 ]
Joshi, Saurabh [1 ]
Agarwal, Geetanjali [1 ]
Reddy, Sunil [1 ]
Mallik, Jainul [1 ]
机构
[1] Galaxy Care Laparoscopy Inst, Pune 411004, Maharashtra, India
[2] KLE Univ, JNMC, Dept Surg, Belgaum, India
关键词
MINIMALLY INVASIVE ESOPHAGECTOMY; THORACOSCOPIC ESOPHAGECTOMY; CANCER; EXPERIENCE; SURGERY;
D O I
10.1186/s12893-015-0024-2
中图分类号
R61 [外科手术学];
学科分类号
摘要
Background: We have initially published our experience with the robotic transthoracic esophagectomy in 32 patients from a single institute. The present paper is the extension of our experience with robotic system and to best of our knowledge this represents the largest series of robotic transthoracic esophagectomy worldwide. The objective of this study was to investigate the feasibility of the robotic transthoracic esophagectomy for esophageal cancer in a series of patients from a single institute. Methods: A retrospective review of medical records was conducted for 83 esophageal cancer patients who underwent robotic esophagectomy at our institute from December 2009 to December 2012. All patients underwent a thorough clinical examination and pre-operative investigations. All patients underwent robotic esophageal mobilization. En-bloc dissection with lymphadenectomy was performed in all cases with preservation of Azygous vein. Relevant data were gathered from medical records. Results: The study population comprised of 50 men and 33 women with mean age of 59.18 years. The mean operative time was 204.94 mins (range 180 to 300). The mean blood loss was 86.75 ml (range 50 to 200). The mean number of lymph node yield was 18. 36 (range 13 to 24). None of the patient required conversion. The mean ICU stay and hospital stay was 1 day (range 1 to 3) and 10.37 days (range 10 to 13), respectively. A total of 16 (19.28%) complication were reported in these patents. Commonly reported complication included dysphagia, pleural effusion and anastomotic leak. No treatment related mortality was observed. After a median follow-up period of 10 months, 66 patients (79.52%) survived with disease free stage. Conclusions: We found robot-assisted thoracoscopic esophagectomy feasible in cases of esophageal cancer. The procedure allowed precise en-bloc dissection with lymphadenectomy in mediastinum with reduced operative time, blood loss and complications.
引用
收藏
页数:7
相关论文
共 36 条
  • [11] Horgan S, 2003, AM SURGEON, V69, P624
  • [12] The first series of completely robotic esophagectomies with three-field lymphadenectomy: initial experience
    Kernstine, K. H.
    [J]. SURGICAL ENDOSCOPY AND OTHER INTERVENTIONAL TECHNIQUES, 2008, 22 (09): : 2102 - 2102
  • [13] Thoracoscopic esophagectomy for esophageal cancer: Feasibility and safety of robotic assistance in the prone position
    Kim, Dae Joon
    Hyung, Woo Jin
    Lee, Chang Young
    Lee, Jin-Gu
    Haam, Seok Jin
    Park, In-Kyu
    Chung, Kyung Young
    [J]. JOURNAL OF THORACIC AND CARDIOVASCULAR SURGERY, 2010, 139 (01) : 53 - U97
  • [14] Review of Minimally Invasive Esophagectomy and Current Controversies
    Kim, T.
    Hochwald, S. N.
    Sarosi, G. A.
    Caban, A. M.
    Rossidis, G.
    Ben-David, K.
    [J]. GASTROENTEROLOGY RESEARCH AND PRACTICE, 2012, 2012
  • [15] Use of minimally invasive oesophagectomy for cancer of the oesophagus
    Law, S
    Wong, J
    [J]. LANCET ONCOLOGY, 2002, 3 (04) : 215 - 222
  • [16] Minimally invasive techniques for oesophageal cancer surgery
    Law, Simon
    [J]. BEST PRACTICE & RESEARCH CLINICAL GASTROENTEROLOGY, 2006, 20 (05) : 925 - 940
  • [17] Is minimally invasive preferable to open oesophagectomy?
    Law, Simon
    [J]. LANCET, 2012, 379 (9829) : 1856 - 1858
  • [18] Levy Ryan M, 2010, Adv Surg, V44, P101
  • [19] Luketich J D, 1998, JSLS, V2, P243
  • [20] Minimally invasive esophagectomy
    Luketich, JD
    Schauer, PR
    Christie, NA
    Weigel, TL
    Raja, S
    Fernando, HC
    Keenan, RJ
    Nguyen, NT
    [J]. ANNALS OF THORACIC SURGERY, 2000, 70 (03) : 906 - 911