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robotic esophagectomy

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https://www.readbyqxmd.com/read/29741233/surgical-robotics-for-esophageal-cancer
#1
Peter P Grimminger, Sylvia van der Horst, Jelle P Ruurda, Marc van Det, Philippe Morel, Richard van Hillegersberg
We present an update on robotic techniques and their advantages and use in esophageal cancer surgery. Recent work has shown tremendous progress in robotic-assisted minimally invasive esophagectomy (RAMIE) and lymphadenectomy for esophageal cancer, as well as benefits of robotic surgery in high upper esophageal tumors and T4b disease. We discuss the different RAMIE techniques, especially for intrathoracic anastomosis. The ongoing ROBOT trial had demonstrated superiority of robotic esophageal cancer surgery over open esophagectomy...
May 9, 2018: Annals of the New York Academy of Sciences
https://www.readbyqxmd.com/read/29718160/safety-and-feasibility-of-robotic-assisted-ivor-lewis-esophagectomy
#2
K Meredith, J Huston, O Andacoglu, R Shridhar
Esophagectomy is associated with substantial morbidity. Robotic surgery allows complex resections to be performed with potential benefits over conventional techniques. We applied this technology to transthoracic esophagectomy to assess safety, feasibility, and reliability of this technology. A retrospective cohort study of all patients undergoing robotic-assisted Ivor-Lewis esophagectomy (RAIL) from 2009 to 2014 was conducted. Clinicopathologic factors and surgical outcomes were recorded and compared. All statistical tests were two-sided and a P-value of <0...
May 1, 2018: Diseases of the Esophagus: Official Journal of the International Society for Diseases of the Esophagus
https://www.readbyqxmd.com/read/29668906/learning-curve-for-robotic-esophagectomy-and-dissection-of-bilateral-recurrent-laryngeal-nerve-nodes-for-esophageal-cancer
#3
S Y Park, D J Kim, D R Kang, S J Haam
No abstract text is available yet for this article.
April 13, 2018: Diseases of the Esophagus: Official Journal of the International Society for Diseases of the Esophagus
https://www.readbyqxmd.com/read/29625500/the-da-vinci-xi-robotic-four-arm-approach-for-robotic-assisted-minimally-invasive-esophagectomy
#4
Peter Philipp Grimminger, Edin Hadzijusufovic, Jelle Piet-Hein Ruurda, Hauke Lang, Richard van Hillegersberg
Robotic surgery is gaining importance in complex thoracoscopic surgery, such as robotic-assisted minimally invasive esophagectomy (RAMIE). The RAMIE procedure was designed using the first generation of the robotic system. The latest da Vinci Xi system has substantially increased the dexterity, especially designed for multiquadrant surgery. The original three-arm RAMIE approach was modified including the robotic four-arm use for the thoracoscopic and laparoscopic part of the operation. This extended approach (four-arm RAMIE approach) provides more flexibility and raises the independence of the surgeon...
April 6, 2018: Thoracic and Cardiovascular Surgeon
https://www.readbyqxmd.com/read/29594164/upper-gastrointestinal-surgery-robotic-surgery-versus-laparoscopic-procedures-for-esophageal-malignancy
#5
REVIEW
Matthias Biebl, Andreas Andreou, Sascha Chopra, Christian Denecke, Johann Pratschke
Background: The evolution of minimally invasive surgery (MIS) also extends to the field of esophageal surgery and has brought forth the development of several approaches of minimally invasive esophagectomy (MIE). Hybrid and total minimally invasive operative techniques have proven beneficial compared to open surgery and are currently evaluated against robotic-assisted minimally invasive esophagectomy (RAMIE). We aim to review the current literature regarding the position of MIE versus RAMIE...
February 2018: Visceral Medicine
https://www.readbyqxmd.com/read/29581681/robot-assisted-mckeown-esophagectomy-is-feasible-after-neoadjuvant-chemoradiation-our-initial-experience
#6
Ashish Goel, Swati H Shah, Veda Padma Priya Selvakumar, Shubha Garg, Kapil Kumar
Neoadjuvant chemoradiation has become the standard of care for esophageal cancer, especially for middle third esophageal lesions and those with squamous histology. Although more and more thoracic surgeons and surgical oncologists have now shifted to video-assisted and robot-assisted thoracoscopic esophagectomy; there is still limited experience for the use of minimal-assisted approaches in patients undergoing surgery after neoadjuvant chemoradiation. Most surgeons have concerns of feasibility, safety, and oncological outcomes as well as issues related to difficult learning curve in adopting robotic esophagectomy in patients after chemoradiation...
February 2018: Indian Journal of Surgery
https://www.readbyqxmd.com/read/29562419/-progress-in-the-application-of-robot-assisted-minimally-invasive-esophagectomy
#7
X F Guo, Z G Li
Robotic assisted surgery system is the most advanced minimally invasive surgical platform in the world, and this system has been widely used in cardiac surgery, urology surgery, gynecology surgery and general surgery. Although the application of this system was relative late in esophageal surgery, it has been developing vigorously. According to the research progress and practical experience in the world, robot assisted minimally invasive esophagectomy (RAMIE) has the same safety and effectiveness as traditional open esophagectomy (OE) and thoracoscopic laparoscopic esophagectomy (TLE)...
April 1, 2018: Zhonghua Wai Ke za Zhi [Chinese Journal of Surgery]
https://www.readbyqxmd.com/read/29538633/comparison-of-short-term-outcomes-between-robot-assisted-minimally-invasive-esophagectomy-and-video-assisted-minimally-invasive-esophagectomy-in-treating-middle-thoracic-esophageal-cancer
#8
H-Y Deng, W-X Huang, G Li, S-X Li, J Luo, G Alai, Y Wang, L-X Liu, Y-D Lin
Whether the robot-assisted minimally invasive esophagectomy (RAMIE) has any advantages over the video-assisted minimally invasive esophagectomy (VAMIE) remains controversial. In this study, we tried to compare the short-term outcomes of RAMIE with that of VAMIE in treating middle thoracic esophageal cancer from a single medical center. Consecutive patients undergoing RAMIE or VAMIE for middle thoracic esophageal cancer from April 2016 to April 2017 were prospectively included for analysis. Baseline data and pathological findings as well as short-term outcomes of these two group (RAMIE group and VAMIE group) patients were collected and compared...
March 9, 2018: Diseases of the Esophagus: Official Journal of the International Society for Diseases of the Esophagus
https://www.readbyqxmd.com/read/29508541/early-experience-with-totally-robotic-esophagectomy-for-malignancy-surgical-and-oncological-outcomes
#9
Francesco Guerra, Alessandra Vegni, Elena Gia, Stefano Amore Bonapasta, Michele Di Marino, Mario Annecchiarico, Andrea Coratti
BACKGROUND: Over 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. METHODS: All patients received either an Ivor Lewis or a McKeown procedure according to tumor location. Perioperative, clinicopathologic and oncological outcomes were examined...
June 2018: International Journal of Medical Robotics + Computer Assisted Surgery: MRCAS
https://www.readbyqxmd.com/read/29497828/quality-of-life-after-robot-assisted-transmediastinal-radical-surgery-for-esophageal-cancer
#10
Shuntaro Yoshimura, Kazuhiko Mori, Yukinori Yamagata, Susumu Aikou, Koichi Yagi, Masato Nishida, Hiroharu Yamashita, Sachiyo Nomura, Yasuyuki Seto
BACKGROUND: The aim of this retrospective study was to assess postoperative quality of life (QOL) after robot-assisted radical transmediastinal esophagectomy, defined as a nontransthoracic esophagectomy with radical mediastinal lymphadenectomy combining a robotic transhiatal approach and a video-assisted cervical approach. The results were compared to those of transthoracic esophagectomy. METHODS: In this study, all consecutive patients who underwent robot-assisted radical transmediastinal esophagectomy or transthoracic esophagectomy for esophageal cancer at University of Tokyo between January 2010 and December 2014 were included...
May 2018: Surgical Endoscopy
https://www.readbyqxmd.com/read/29454718/the-learning-curve-for-robot-assisted-minimally-invasive-thoracoscopic-esophagectomy-results-from-312-cases
#11
Pieter C van der Sluis, Jelle P Ruurda, Sylvia van der Horst, Lucas Goense, Richard van Hillegersberg
BACKGROUND: Robot-assisted minimally invasive thoraco-laparoscopic esophagectomy (RAMIE) was developed in 2003. RAMIE was shown to be safe and oncologically effective. The aim of this study was to assess the learning curve and the proctoring program for a newly introduced surgeon (surgeon 2). METHODS: The "learning curve" was defined as the number of operations that must be performed by a surgeon to achieve a steady level of performance. Measures of proficiency to describe the learning curve of the proctor and the newly introduced surgeon 2 included: operating time, blood loss and conversion rates and were analyzed using the cumulative sum (CUSUM) method...
February 15, 2018: Annals of Thoracic Surgery
https://www.readbyqxmd.com/read/29397486/usefulness-of-robot-assisted-thoracoscopic-esophagectomy
#12
Yoshiaki Osaka, Shingo Tachibana, Yoshihiro Ota, Takeshi Suda, Yosuke Makuuti, Takafumi Watanabe, Kenichi Iwasaki, Kenji Katsumata, Akihiko Tsuchida
OBJECTIVES: We started robot-assisted thoracoscopic esophagectomy using the da Vinci surgical system from June 2010 and operated on 30 cases by December 2013. Herein, we examined the usefulness of robot-assisted thoracoscopic esophagectomy and compared it with conventional esophagectomy by right thoracotomy. METHODS: Patients requiring an invasion depth of up to the muscularis propria with preoperative diagnosis were considered for surgical adaptation, excluding bulky lymph node metastasis or salvage surgery cases...
April 2018: General Thoracic and Cardiovascular Surgery
https://www.readbyqxmd.com/read/29354905/-advancement-of-minimally-invasive-esophagectomy
#13
Yue Zhao, Yousheng Mao
Esophageal cancer is one of the most common malignant digestive system cancers in China, which has high incidence and mortality. Nowadays, surgery remains the most important part of the comprehensive treatments. Conventional open esophagectomies are highly traumatic with high morbidity, while minimally invasive esophagectomy has been increasingly used with the development of surgical instruments and techniques in recent years. Compared with conventional open esophagectomy(OE), what are the advantages of minimally invasive esophagectomy (MIE) and which is preferable? This review briefly introduces the developing history of MIE and common procedures...
January 25, 2018: Zhonghua Wei Chang Wai Ke za Zhi, Chinese Journal of Gastrointestinal Surgery
https://www.readbyqxmd.com/read/29312700/modified-exposure-method-for-gastric-mobilization-in-robot-assisted-esophagectomy
#14
Yu Zheng, Xi-Wen Zhao, Han-Lu Zhang, Zi-Hao Wang, Yun Wang
Background: We describe a modified method to facilitate gastric mobilization in robotic esophagectomy. Furthermore, we performed a prospective comparative analysis of surgical outcomes between the conventional method and described technique. Methods: From April 1st, 2016 to December 31st, 2016, 59 consecutive patients were included who underwent robot-assisted McKeown esophagectomy for esophageal squamous cell carcinoma in our institution. They were subdivided into two groups based on the method of gastric exposure: a grasper retraction (GR) group (n=27) and a thread retraction (TR) group (n=32)...
December 2017: Journal of Thoracic Disease
https://www.readbyqxmd.com/read/29288659/the-learning-curve-for-robotic-mckeown-esophagectomy-in-patients-with-esophageal-cancer
#15
Hanlu Zhang, Longqi Chen, Zihao Wang, Yu Zheng, Yingcai Geng, Fuqiang Wang, Dan Liu, Andong He, Lin Ma, Yong Yuan, Yun Wang
BACKGROUND: Robot-assisted McKeown esophagectomy is a promising but technically demanding procedure; thus, a learning curve should be defined to guide training and allow implementation of this technique. METHODS: This study retrospectively reviewed the prospectively collected data of 72 consecutive patients undergoing robot-assisted McKeown esophagectomy by a single surgical team experienced in open and thoracolaparoscopic esophagectomy. The cumulative sum method was used to analyze the learning curve...
April 2018: Annals of Thoracic Surgery
https://www.readbyqxmd.com/read/29220041/robotic-assisted-minimally-invasive-esophagectomy-for-esophageal-cancer-a-comment-on-the-ruijin-hospital-experience
#16
EDITORIAL
David Pennywell, Inderpal S Sarkaria
No abstract text is available yet for this article.
September 2017: Journal of Thoracic Disease
https://www.readbyqxmd.com/read/29089700/total-transthoracic-and-transabdominal-robotic-radical-three-stage-esophagectomy-initial-indian-experience
#17
S P Somashekhar, Rajshekhar C Jaka
This study aims to evaluate the safety and technical feasibility of total robot-assisted three-stage esophagectomy. From July 2011 to June 2014, 35 histologically proven resectable carcinoma esophagus patients underwent robot-assisted transthoracic and transperitoneal three-stage esophagectomy. In the initial ten cases, total docking time, thoracic docking time, total operative time, thoracic-phase operative time, and blood loss were 67.9 ± 13.24, 32.2 ± 9.74, 429.2 ± 57.65, and 96.6 ± 20...
October 2017: Indian Journal of Surgery
https://www.readbyqxmd.com/read/29078685/minimally-invasive-and-robotic-esophagectomy-state-of-the-art
#18
REVIEW
Marco Taurchini, Antonello Cuttitta
Esophageal cancer is the eight most common cancer in the world and surgical resection remains the gold standard not only in providing the optimal chance for cure but also the best palliation for dysphagia. Esophagectomy is a complex operation and is associated with significant morbidity and mortality that are reported as 23-50% and 2-8% in western country. At the moment no gold standard techniques exist for esophagectomy. The choice of the technique depends on several factors; location of tumor and surgeon's experience are probably the most relevant...
2017: Journal of Visualized Surgery
https://www.readbyqxmd.com/read/29078676/technique-of-robotic-assisted-minimally-invasive-esophagectomy-ramie
#19
REVIEW
Olugbenga T Okusanya, Nicholas R Hess, James D Luketich, Inderpal S Sarkaria
Minimally invasive esophagectomy (MIE) has gained popularity over the last two decades as an oncologically sound alternative to open esophagectomy. Robotic assisted minimally invasive esophagectomy (RAMIE) has been developed at few highly-specialized centers, and overall experience with this technique remains limited. Herein, we describe our overall approach to this operation and specific technical issues.
2017: Journal of Visualized Surgery
https://www.readbyqxmd.com/read/29078607/robotics-in-general-thoracic-surgery-procedures
#20
REVIEW
M Jawad Latif, Bernard J Park
The use of robotic technology in general thoracic surgical practice continues to expand across various institutions and at this point many major common thoracic surgical procedures have been successfully performed by general thoracic surgeons using the robotic technology. These procedures include lung resections, excision of mediastinal masses, esophagectomy and reconstruction for malignant and benign esophageal pathologies. The success of robotic technology can be attributed to highly magnified 3-D visualization, dexterity afforded by 7 degrees of freedom that allow difficult dissections in narrow fields and the ease of reproducibility once the initial set up and instruments become familiar to the surgeon...
2017: Journal of Visualized Surgery
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