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Please use this identifier to cite or link to this item: http://doi.org/10.25358/openscience-7614
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dc.contributor.authorGrimminger, Peter P.-
dc.contributor.authorStaubitz, Julia I.-
dc.contributor.authorPerez, Daniel-
dc.contributor.authorGhadban, Tarik-
dc.contributor.authorReeh, Matthias-
dc.contributor.authorScognamiglio, Pasquale-
dc.contributor.authorIzbicki, Jakob R.-
dc.contributor.authorBiebl, Matthias-
dc.contributor.authorFuchs, Hans-
dc.contributor.authorBruns, Christiane J.-
dc.contributor.authorLang, Hauke-
dc.contributor.authorBecker, Thomas-
dc.contributor.authorEgberts, Jan-Hendrik-
dc.date.accessioned2022-08-24T09:41:15Z-
dc.date.available2022-08-24T09:41:15Z-
dc.date.issued2021-
dc.identifier.urihttps://openscience.ub.uni-mainz.de/handle/20.500.12030/7628-
dc.description.abstractBackground Oncological esophageal surgery has evolved significantly in the last decades. From open esophagectomy over (hybrid) minimally invasive surgery, nowadays, robot-assisted minimally invasive esophagectomy (RAMIE) approaches are applied. Current techniques require an analysis of possible advantages and disadvantages indicating the direction towards a novel gold standard. Methods Robot-assisted Ivor Lewis esophagectomies, performed in the period from April 2017 to June 2019 in five German centers (Berlin, Cologne, Hamburg, Kiel, Mainz), were included in this study. Pre-, intra-, and postoperative parameters were assessed. Cases were grouped for hybrid (H-RAMIE) versus totally robot-assisted (T-RAMIE) approaches. Postoperative parameters and complications were compared using risk ratios. Results A total of 175 operations were performed as T-RAMIE and 67 as H-RAMIE. Patient age (median age 62 years) and sex (83.1% male) were similarly distributed in both groups. Median duration of esophagectomy was significantly lower in the T-RAMIE group (385 versus 427 min, p < 0.001). The risks of “overall morbidity” (32.0 versus 47.8%; risk ratio [RR], 95% confidence interval (CI): 1.5, 1.1–2.1; p = 0.026), “anastomotic leak” (10.3 versus 22.4%; RR, CI: 2.2, 1.2–4.1; p = 0.020), and “respiratory failure” (1.1 versus 7.5%; RR, CI: 6.5, 1.3–32.9; p = 0.019) were significantly higher in case of H-RAMIE. Conclusions In the five participating German centers, T-RAMIE was the preferred procedure (72.3% of operations). In comparison to H-RAMIE, T-RAMIE was associated with a significantly reduced risk of postoperative morbidity, anastomotic leak, and respiratory failure as well as a significantly reduced time necessary for esophagectomy.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.titleMulticenter experience in robot-assisted minimally invasive esophagectomy : a comparison of hybrid and totally robot-assisted techniquesen_GB
dc.typeZeitschriftenaufsatzde
dc.identifier.doihttp://doi.org/10.25358/openscience-7614-
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.start2463de
jgu.pages.end2469de
jgu.publisher.year2021-
jgu.publisher.nameSpringerde
jgu.publisher.placeNew York, NYde
jgu.publisher.issn1873-4626de
jgu.organisation.placeMainz-
jgu.subject.ddccode610de
jgu.publisher.doi10.1007/s11605-021-05044-8de
jgu.organisation.rorhttps://ror.org/023b0x485-
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