Authors:	Sluis, Pieter Christiaan van der Tagkalos, Evangelos Hadzijusufovic, Edin Babic, Benjamin Uzun, Eren Hillegersberg, Richard van Lang, Hauke Grimminger, Peter Philipp
Title:	Robot-assisted minimally invasive esophagectomy with intrathoracic anastomosis (Ivor Lewis) : promising results in 100 consecutive patients (the European experience)
Online publication date:	10-May-2021
Year of first publication:	2021
Language:	english
Abstract:	BACKGROUND Robot-assisted minimally invasive esophagectomy (RAMIE) with intrathoracic anastomosis is gaining popularity as a treatment for esophageal cancer. The aim of this study was to describe postoperative complications and short-term oncologic outcomes for RAMIE procedures using the da Vinci Xi robotic system 4-arm technique. METHODS Data of 100 consecutive patients with esophageal or gastro-esophageal junction carcinoma undergoing modified Ivor Lewis esophagectomy were prospectively collected. All operations were performed by the same surgeon using an identical intrathoracic anastomotic reconstruction technique with the same perioperative management. Intraoperative and postoperative complications were graded according to Esophagectomy Complications Consensus Group (ECCG) definitions. RESULTS Mean duration was 416 min (±80); 70% of patients had an uncomplicated postoperative recovery. Pulmonary complications were observed in 17% of patients. Anastomotic leakage was observed in 8% of patients. Median ICU stay was 1 day and median overall postoperative hospital stay was 11 days. The 30-day mortality was 1%; 90-day mortality was 3%. A R0 resection was reached in 92% of patients with a median number of 29 dissected lymph nodes. All patients had at least 7 months of follow-up with a median follow-up of 17 months. Median overall survival was not reached yet. CONCLUSION RAMIE with intrathoracic anastomosis (Ivor Lewis) for esophageal or gastro-esophageal junction cancer was technically feasible and safe. Postoperative complications and short-term oncologic results were comparable to the highest international standards nowadays. Synopsis RAMIE with intrathoracic anastomosis (Ivor Lewis) for esophageal or gastro-esophageal junction cancer is technically feasible and safe. Postoperative complications and short-term oncologic results were comparable to the highest international standards nowadays.
DDC:	610 Medizin 610 Medical sciences
Institution:	Johannes Gutenberg-Universität Mainz
Department:	FB 04 Medizin
Place:	Mainz
ROR:	https://ror.org/023b0x485
DOI:	http://doi.org/10.25358/openscience-5878
Version:	Published version
Publication type:	Zeitschriftenaufsatz
License:	CC BY
Information on rights of use:	https://creativecommons.org/licenses/by/4.0/
Journal:	Journal of gastrointestinal surgery 25
Pages or article number:	1 8
Publisher:	Springer
Publisher place:	New York, NY
Issue date:	2021
ISSN:	1873-4626
Publisher URL:	https://doi.org/10.1007/s11605-019-04510-8
Publisher DOI:	10.1007/s11605-019-04510-8
Appears in collections:	JGU-Publikationen