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Review
. 2022 Sep;52(9):1246-1253.
doi: 10.1007/s00595-021-02432-0. Epub 2021 Dec 1.

Current status of robot-assisted minimally invasive esophagectomy: what is the real benefit?

Jun Kanamori  1 , Masayuki Watanabe  2 , Suguru Maruyama  1 , Yasukazu Kanie  1 , Daisuke Fujiwara  1 , Kei Sakamoto  1 , Akihiko Okamura  1 , Yu Imamura  1
Affiliations
Review

Current status of robot-assisted minimally invasive esophagectomy: what is the real benefit?

Jun Kanamori et al. Surg Today. 2022 Sep.

Abstract

Robot-assisted minimally invasive esophagectomy (RAMIE) for esophageal cancer has been performed increasingly frequently over the last few years. Robotic systems with articulated devices and tremor filtration allow surgeons to perform such procedures more meticulously than by hand. The feasibility of RAMIE has been demonstrated in several retrospective comparative studies, which showed similar short-term outcomes to conventional minimally invasive esophagectomy (cMIE). Considering the number of harvested lymph nodes, RAMIE may be superior to cMIE in terms of left upper mediastinal lymph node dissection. However, whether or not the addition of a robotic system to cMIE can help improve perioperative and oncological outcomes remains unclear. Given the lack of established evidence from randomized controlled trials, we must await the results of ongoing studies to reach any meaningful conclusions. Further advancements in robotic platforms, as well as the reduction in medical expenses, will be essential to demonstrate the real benefit of RAMIE.

Keywords: Esophageal cancer; Minimally invasive esophagectomy; Robot-assisted esophagectomy.

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References

    1. Smyth EC, Lagergren J, Fitzgerald RC, Lordick F, Shah MA, Lagergren P, et al. Oesophageal cancer. Nat Rev Dis Primers. 2017;3:17048. - PubMed - PMC
    1. Otsuka K, Murakami M, Goto S, Ariyoshi T, Yamashita T, Saito A, et al. Minimally invasive esophagectomy and radical lymph node dissection without recurrent laryngeal nerve paralysis. Surg Endosc. 2020;36:2749–57.
    1. Takeuchi H, Miyata H, Gotoh M, Kitagawa Y, Baba H, Kimura W, et al. A risk model for esophagectomy using data of 5354 patients included in a Japanese Nationwide web-based database. Ann Surg. 2014;260(2):259–66. - PubMed
    1. Cuschieri A, Shimi S, Banting S. Endoscopic oesophagectomy through a right thoracoscopic approach. J R Coll Surg Edinb. 1992;37:7–11. - PubMed
    1. Nagpal K, Ahmed K, Vats A, Yakoub D, James D, Ashrafian H, et al. Is minimally invasive surgery beneficial in the management of esophageal cancer? A meta-analysis. Surg Endosc. 2010;24:1621–9. - PubMed

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