Abstract
Minimally invasive esophagectomy (MIE) was designed to reduce surgical trauma, resulting in lower rates of morbidity and mortality. MIE has been shown to decrease blood loss, reduce postoperative complications, and shorten hospital stay, with comparable oncological results.
In 2003 the robot-assisted thoraco-laparoscopic esophagectomy (RAMIE) was developed at UMC Utrecht. Robot-assisted thoraco-laparoscopic esophagectomy facilitates complex minimally invasive procedures with an enlarged, 3-dimensional field of view. The articulated instruments allow dissection with 7° of freedom.
RAMIE with 2-field lymphadenectomy was analyzed in consecutive cohorts of more than 180 patients. The procedure was shown to be feasible and safe in Western patients with esophageal cancer. Furthermore, a high percentage of R0 radical resections with adequate lymphadenectomy resulted in adequate local control, a low percentage of local recurrence, and favorable overall survival.
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References
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;379:1887–92.
Verhage RJ, Hazebroek EJ, Boone J, Van Hillegersberg R. Minimally invasive surgery compared to open procedures in esophagectomy for cancer: a systematic review of the literature. Minerva Chir. 2009;64:135–46.
Luketich JD, Pennathur A, Awais O, et al. Outcomes after minimally invasive esophagectomy: review of over 1000 patients. Ann Surg. 2012;256:95–103.
Ruurda JP, Draaisma WA, van Hillegersberg R, et al. Robot-assisted endoscopic surgery: a four-year single-center experience. Dig Surg. 2005;22:313–20.
van Hillegersberg R, Boone J, Draaisma WA, et al. First experience with robot-assisted thoracoscopic esophagolymphadenectomy for esophageal cancer. Surg Endosc. 2006;20:1435–9.
Kernstine KH. Robotics in thoracic surgery. Am J Surg. 2004;188:89S–97.
Boone J, Schipper ME, Moojen WA, et al. Robot-assisted thoracoscopic oesophagectomy for cancer. Br J Surg. 2009;96:878–86.
van Hagen P, Hulshof MC, van Lanschot JJ, et al. Preoperative chemoradiotherapy for esophageal or junctional cancer. N Engl J Med. 2012;366:2074–84.
Gebski V, Burmeister B, Smithers BM, et al. Survival benefits from neoadjuvant chemoradiotherapy or chemotherapy in oesophageal carcinoma: a meta-analysis. Lancet Oncol. 2007;8:226–34.
Block BM, Liu SS, Rowlingson AJ, et al. Efficacy of postoperative epidural analgesia: a meta-analysis. JAMA. 2003;290:2455–63.
Michelet P, Roch A, D’Journo XB, et al. Effect of thoracic epidural analgesia on gastric blood flow after oesophagectomy. Acta Anaesthesiol Scand. 2007;51:587–94.
Sato N, Koeda K, Ikeda K, et al. Randomized study of the benefits of preoperative corticosteroid administration on the postoperative morbidity and cytokine response in patients undergoing surgery for esophageal cancer. Ann Surg. 2002;236:184–90.
Verhage RJ, Boone J, Rijkers GT, Cromheecke GJ, Kroese AC, Weijs TJ, Borel Rinkes IH, van Hillegersberg R. Reduced local immune response with CPAP during single lung ventilation for oesophagectomy. Br J Anaesth. 2014;112(5):920–8.
Boone J, Rinkes IH, van Hillegersberg R. Gastric conduit staple line after esophagectomy: to oversew or not? J Thorac Cardiovasc Surg. 2006;132:1491–2.
van der Sluis PCR, JP, Verhage RJJ, van der Horst S, Haverkamp L, Siersema PD, Borel Rinkes IHM, ten Kate FJW, van Hillegersberg R. Robot-assisted minimally invasive thoraco-laparoscopic esophagectomy with two-field lymphadenectomy for esophageal cancer: report of 108 consecutive procedures. 2014 (submitted).
Dindo D, Demartines N, Clavien PA. Classification of surgical complications: a new proposal with evaluation in a cohort of 6336 patients and results of a survey. Ann Surg. 2004;240:205–13.
Clark J, Sodergren MH, Purkayastha S, et al. The role of robotic assisted laparoscopy for oesophagogastric oncological resection; an appraisal of the literature. Dis Esophagus. 2011;24:240–50.
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.
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van Hillegersberg, R., Verhage, R.J.J., van der Sluis, P.C., Ruurda, J.P.H., Kroese, A.C. (2015). Robotic Utilization in Esophageal Cancer Surgery. In: Hochwald, S., Kukar, M. (eds) Minimally Invasive Foregut Surgery for Malignancy. Springer, Cham. https://doi.org/10.1007/978-3-319-09342-0_18
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DOI: https://doi.org/10.1007/978-3-319-09342-0_18
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