Robot-assisted surgery in esophageal cancer – perioperative results and morbidity
Keywords:
robot-assisted surgery, esophagectomy, esophageal carcinomaAbstract
Introduction: Robot-assisted minimally invasive esophagectomy (RAMIE) is becoming increasingly common as a clinically and oncologically safe technique in the surgical treatment of esophageal cancer. Aim: To study the advantages of a relatively new technique and to present the possible indications of the method, as well as to analyze the results obtained and to discuss the future prospects of the surgical management of esophageal carcinoma. Materials and methods: In this report 8 patients were studied over a period of 6 months, operated on with robot-assisted technique and the results of the intervention were examined in terms of postoperative complications, recovery speed and advantages of the method in terms of oncological radicality. Conclusion: The performed operations demonstrate the possibility of performing robot-assisted interventions with a high level of safety, efficacy and accelerated patient recovery. In the majority of cases of esophageal carcinoma that are operable the robot-assisted approach is our method of choice.
References
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.
Ruurda JP, Draaisma WA, van Hillegersberg R, et al. Robot-assisted endoscopic surgery: a four-year singlecenter experience. Dig Surg 2005;22:313-20.
Cuschieri A, Shimi S, Banting S. Endoscopic oesophagectomy through a right thoracoscopic approach. J R Coll Surg Edinb 1992;37:7-11.
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.
Straatman J, van der Wielen N, Cuesta MA, et al. Minimally Invasive Versus Open Esophageal Resection: Three-year Follow-up of the Previously Reported Randomized Controlled Trial: the TIME Trial. Ann Surg 2017;266:232-6.
Yibulayin W, Abulizi S, Lv H, et al. Minimally invasive oesophagectomy versus open esophagectomy for resectable esophageal cancer: a meta-analysis. World J Surg Oncol 2016;14:304.
Sihag S, Kosinski AS, Gaissert HA, et al. Minimally Invasive Versus Open Esophagectomy for Esophageal Cancer: A Comparison of Early Surgical Outcomes From The Society of Thoracic Surgeons National Database. Ann Thorac Surg 2016;101:1281-8; discussion 1288-9.
Minchev Ts. Robot asistirani operatsii pri kartsinom na hranoprovoda i gastroezofagealnata vruzka; Sofia, Simolini 94, 2005: 71-73.
Seesing MF, Gisbertz SS, Goense L, et al. A Propensity Score Matched Analysis of Open Versus Minimally Invasive Transthoracic Esophagectomy in the Netherlands. Ann Surg 2017.
Van der Sluis PC, Ruurda JP, Verhage RJ, et al. Oncologic Long-Term Results of Robot-Assisted Minimally Invasive Thoraco-Laparoscopic Esophagectomy with Two-Field Lymphadenectomy for Esophageal Cancer. Ann Surg Oncol 2015;22 Suppl 3:S1350-6.
Van der Sluis PC, van der Horst S, May AM, et al. Robot-assisted Minimally Invasive Thoracolaparoscopic Esophagectomy Versus Open Transthoracic Esophagectomy for Resectable Esophageal Cancer: A Randomized Controlled Trial. Ann Surg 2019;269:621-30.
Downloads
Published
Issue
Section
License
Copyright (c) 2026 I. A. Ivanov, S. Chakarov, N. Dragnev, D. Mitev (Author)
This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.
You are free to share, copy and redistribute the material in any medium or format under these terms.
