Please use this identifier to cite or link to this item: http://doi.org/10.25358/openscience-5878
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dc.contributor.authorSluis, Pieter Christiaan van der-
dc.contributor.authorTagkalos, Evangelos-
dc.contributor.authorHadzijusufovic, Edin-
dc.contributor.authorBabic, Benjamin-
dc.contributor.authorUzun, Eren-
dc.contributor.authorHillegersberg, Richard van-
dc.contributor.authorLang, Hauke-
dc.contributor.authorGrimminger, Peter Philipp-
dc.date.accessioned2021-05-10T08:11:18Z-
dc.date.available2021-05-10T08:11:18Z-
dc.date.issued2021-
dc.identifier.urihttps://openscience.ub.uni-mainz.de/handle/20.500.12030/5887-
dc.description.abstractBACKGROUND 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.en_GB
dc.language.isoengde
dc.rightsCC BY*
dc.rights.urihttps://creativecommons.org/licenses/by/4.0/*
dc.subject.ddc610 Medizinde_DE
dc.subject.ddc610 Medical sciencesen_GB
dc.titleRobot-assisted minimally invasive esophagectomy with intrathoracic anastomosis (Ivor Lewis) : promising results in 100 consecutive patients (the European experience)en_GB
dc.typeZeitschriftenaufsatzde
dc.identifier.doihttp://doi.org/10.25358/openscience-5878-
jgu.type.dinitypearticleen_GB
jgu.type.versionPublished versionde
jgu.type.resourceTextde
jgu.organisation.departmentFB 04 Medizinde
jgu.organisation.number2700-
jgu.organisation.nameJohannes Gutenberg-Universität Mainz-
jgu.rights.accessrightsopenAccess-
jgu.journal.titleJournal of gastrointestinal surgeryde
jgu.journal.volume25de
jgu.pages.start1de
jgu.pages.end8de
jgu.publisher.year2021-
jgu.publisher.nameSpringerde
jgu.publisher.placeNew York, NYde
jgu.publisher.urihttps://doi.org/10.1007/s11605-019-04510-8de
jgu.publisher.issn1873-4626de
jgu.organisation.placeMainz-
jgu.subject.ddccode610de
jgu.publisher.doi10.1007/s11605-019-04510-8
jgu.organisation.rorhttps://ror.org/023b0x485
Appears in collections:JGU-Publikationen

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