Early experience with totally robotic esophagectomy for malignancy. Surgical and oncological outcomes

被引:12
作者
Guerra, Francesco [1 ]
Vegni, Alessandra [1 ]
Gia, Elena [1 ]
Bonapasta, Stefano Amore [1 ]
Di Marino, Michele [1 ]
Annecchiarico, Mario [1 ]
Coratti, Andrea [1 ]
机构
[1] Careggi Univ Hosp, Div Oncol & Robot Gen Surg, Largo Brambilla 3, I-50134 Florence, Italy
关键词
esophageal cancer; Ivor Lewis esophagectomy; minimally invasive esophagectomy; robotic esophagectomy; MINIMALLY INVASIVE ESOPHAGECTOMY; ASSISTED THORACOSCOPIC ESOPHAGECTOMY; RANDOMIZED CONTROLLED-TRIAL; TRANSHIATAL RESECTION; DISTAL ESOPHAGUS; CANCER; COMPLICATIONS; SURGERY; COHORT;
D O I
10.1002/rcs.1902
中图分类号
R61 [外科手术学];
学科分类号
摘要
BackgroundOver recent decades, minimally invasive esophagectomy has gained popularity and is increasingly performed worldwide. The aim of this work was to investigate the perioperative, clinicopathologic, and oncological outcomes of robot-assisted esophagectomy on a consecutive series of totally robotic procedures. MethodsAll patients received either an Ivor Lewis or a McKeown procedure according to tumor location. Perioperative, clinicopathologic and oncological outcomes were examined. ResultsA total of 38 patients underwent robot-assisted esophagectomy procedures. All underwent surgery for primary esophageal neoplasms. Neoadjuvant therapy was given to 22 patients. R0 resections were achieved in all patients and no conversion to open surgery occurred. Overall morbidity and mortality were 42% and 10%, respectively. The 1year disease free survival was 78.9%, whereas the 1year overall survival was 84.2%. ConclusionsRobotic surgery can be employed to treat esophageal malignancy competently. Robotic esophagectomy satisfies all features of pathologic appropriateness and offers the expected oncological results.
引用
收藏
页数:7
相关论文
共 33 条
  • [1] The surgical treatment of esophageal cancer in Sudan: A 100 consecutive cases
    Ahmed, Mohamed ElMakki
    Mahadi, Seifeldin Ibrahim
    Ali, Baha Mohamed
    [J]. INTERNATIONAL JOURNAL OF SURGERY, 2016, 29 : 101 - 107
  • [2] [Anonymous], THORAC CARDIOVASC SU
  • [3] [Anonymous], 2013, Chin Ger J Clin Oncol, DOI DOI 10.1007/S10330-012-0966-0
  • [4] The feasibility of a randomized controlled trial of esophagectomy for esophageal cancer - the ROMIO (Randomized Oesophagectomy: Minimally Invasive or Open) study: protocol for a randomized controlled trial
    Avery, Kerry N. L.
    Metcalfe, Chris
    Berrisford, Richard
    Barham, C. Paul
    Donovan, Jenny L.
    Elliott, Jackie
    Falk, Stephen J.
    Goldin, Rob
    Hanna, George
    Hollowood, Andrew A.
    Krysztopik, Richard
    Noble, Sian
    Sanders, Grant
    Streets, Christopher G.
    Titcomb, Dan R.
    Wheatley, Tim
    Blazeby, Jane M.
    [J]. TRIALS, 2014, 15
  • [5] Outcomes after esophagectomy: A ten-year prospective cohort
    Bailey, SH
    Bull, DA
    Harpole, DH
    Rentz, JJ
    Neumayer, LA
    Pappas, TN
    Daley, J
    Henderson, WG
    Krasnicka, B
    Khuri, SF
    [J]. ANNALS OF THORACIC SURGERY, 2003, 75 (01) : 217 - 222
  • [6] Minimally invasive versus open oesophagectomy for patients with oesophageal cancer: a multicentre, open-label, randomised controlled trial
    Biere, Surya S. A. Y.
    Henegouwen, Mark I. van Berge
    Maas, Kirsten W.
    Bonavina, Luigi
    Rosman, Camiel
    Roig Garcia, Josep
    Gisbertz, Suzanne S.
    Klinkenbijl, Jean H. G.
    Hollmann, Markus W.
    de lange, Elly S. M.
    Bonjer, H. Jaap
    van der Peet, Donald L.
    Cuesta, Miguel A.
    [J]. LANCET, 2012, 379 (9829) : 1887 - 1892
  • [7] Hospital volume and surgical mortality in the United States.
    Birkmeyer, JD
    Siewers, AE
    Finlayson, EVA
    Stukel, TA
    Lucas, FL
    Batista, I
    Welch, HG
    Wennberg, DE
    [J]. NEW ENGLAND JOURNAL OF MEDICINE, 2002, 346 (15) : 1128 - 1137
  • [8] Bonapasta SA, 2017, CHIRURG, V88, P12, DOI 10.1007/s00104-016-0209-y
  • [9] Robot-sewn Ivor-Lewis anastomosis: preliminary experience and technical details
    Bongiolatti, Stefano
    Annecchiarico, Mario
    Di Marino, Michele
    Boffi, Bernardo
    Borgianni, Sara
    Gonfiotti, Alessandro
    Voltolini, Luca
    Coratti, Andrea
    [J]. INTERNATIONAL JOURNAL OF MEDICAL ROBOTICS AND COMPUTER ASSISTED SURGERY, 2016, 12 (03) : 421 - 426
  • [10] Robot-assisted thoracoscopic oesophagectomy for cancer
    Boone, J.
    Schipper, M. E. I.
    Moojen, W. A.
    Rinkes, I. H. M. Borel
    Cromheecke, G. J. E.
    van Hillegersberg, R.
    [J]. BRITISH JOURNAL OF SURGERY, 2009, 96 (08) : 878 - 886