Gutenberg Open Science: Robotic-assisted surgery for esophageal submucosal tumors : a single-center case series

Please use this identifier to cite or link to this item: http://doi.org/10.25358/openscience-8303

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DC Field	Value	Language
dc.contributor.author	Froiio, Caterina	-
dc.contributor.author	Berlth, Felix	-
dc.contributor.author	Capovilla, Giovanni	-
dc.contributor.author	Tagkalos, Evangelos	-
dc.contributor.author	Hadzijusufovic, Edin	-
dc.contributor.author	Mann, Carolina	-
dc.contributor.author	Lang, Hauke	-
dc.contributor.author	Grimminger, Peter Philipp	-
dc.date.accessioned	2023-01-04T11:36:01Z	-
dc.date.available	2023-01-04T11:36:01Z	-
dc.date.issued	2022	-
dc.identifier.uri	https://openscience.ub.uni-mainz.de/handle/20.500.12030/8319	-
dc.description.abstract	Esophageal submucosal tumors (SMTs) are rare heterogenous clinical entities. The surgical resection can be performed in different surgical approaches. However, the robotic surgical strategy is poorly documented in the treatment of SMTs. We present our series of operated esophageal SMTs approached via robotic-assisted surgery. Six patients with symptomatic esophageal submucosal tumors underwent robotic surgery within a 3-year period. The performed procedures were robotic-assisted enucleation, robotic esophagectomy (RAMIE) and reverse hybrid robotic esophagectomy. Patients’ clinical data, intra/postoperative outcomes, and histopathological features were retrieved from the institution’s prospective database. Five of six patients were scheduled for upfront surgery: four underwent robotic enucleation (three leiomyoma and one suspected GIST) and one underwent reverse hybrid robotic esophagectomy (suspected GIST). One patient, diagnosed with GIST, was treated with neoadjuvant Imatinib therapy, before undergoing a RAMIE. No major intra-operative complications were recorded. Median length of stay was 7 days (6–50), with a longer post-operative course in patients who underwent esophagectomy. Clavien–Dindo > 3a complications occurred in two patients, aspiration pneumonia and delayed gastric emptying. The final histopathological and immuno-histochemical diagnosis were leiomyoma, well-differentiated GIST, low-grade fibromyxoid sarcoma and Schwannoma. Robotic-assisted surgery seems to be a promising option for surgical treatment strategies of benign or borderline esophageal submucosal tumors.	en_GB
dc.description.sponsorship	Gefördert durch die Deutsche Forschungsgemeinschaft (DFG) - Projektnummer 491381577	de
dc.language.iso	eng	de
dc.rights	CC BY	*
dc.rights.uri	https://creativecommons.org/licenses/by/4.0/	*
dc.subject.ddc	610 Medizin	de_DE
dc.subject.ddc	610 Medical sciences	en_GB
dc.title	Robotic-assisted surgery for esophageal submucosal tumors : a single-center case series	en_GB
dc.type	Zeitschriftenaufsatz	de
dc.identifier.doi	http://doi.org/10.25358/openscience-8303	-
jgu.type.dinitype	article	en_GB
jgu.type.version	Published version	de
jgu.type.resource	Text	de
jgu.organisation.department	FB 04 Medizin	de
jgu.organisation.number	2700	-
jgu.organisation.name	Johannes Gutenberg-Universität Mainz	-
jgu.rights.accessrights	openAccess	-
jgu.journal.title	Updates in surgery	de
jgu.journal.volume	74	de
jgu.pages.start	1043	de
jgu.pages.end	1054	de
jgu.publisher.year	2022	-
jgu.publisher.name	Springer Milan	de
jgu.publisher.place	Mailand	de
jgu.publisher.issn	2038-3312	de
jgu.organisation.place	Mainz	-
jgu.subject.ddccode	610	de
jgu.publisher.doi	10.1007/s13304-022-01247-z	de
jgu.organisation.ror	https://ror.org/023b0x485	-
jgu.subject.dfg	Lebenswissenschaften	de
Appears in collections:	DFG-491381577-H

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