Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
Review
. 2023 Feb;75(2):367-372.
doi: 10.1007/s13304-022-01351-0. Epub 2022 Aug 11.

Why pay more for robot in esophageal cancer surgery?

Fabrizio Rebecchi  1 , Elettra Ugliono  2 , Marco Ettore Allaix  2 , Mario Morino  2
Affiliations
Review

Why pay more for robot in esophageal cancer surgery?

Fabrizio Rebecchi et al. Updates Surg. 2023 Feb.

Abstract

Esophagectomy is the gold standard for the treatment of resectable esophageal cancer. Traditionally, it is performed through a laparotomy and a thoracotomy, and is associated with high rates of postoperative complications and mortality. The advent of robotic surgery has represented a technological evolution in the field of esophageal cancer treatment. Robot-assisted Minimally Invasive Esophagectomy (RAMIE) has been progressively widely adopted following the first reports on the safety and feasibility of this procedure in 2004. The robotic approach has better short-term postoperative outcomes than open esophagectomy, without jeopardizing oncologic radicality. The results of the comparison between RAMIE and conventional minimally invasive esophagectomy are less conclusive. This article will focus on the role of RAMIE in the current clinical scenario with particular attention to its possible benefits and perspectives.

Keywords: Costs; Esophageal cancer; Esophagectomy; MIE; RAMIE.

PubMed Disclaimer

Conflict of interest statement

The authors have no relevant financial or non-financial interests to disclose.

References

    1. Hulscher JB, Tijssen JG, Obertop H, van Lanschot JJ. Transthoracic versus transhiatal resection for carcinoma of the esophagus: a meta-analysis. Ann Thorac Surg. 2001;72:306–313. doi: 10.1016/s0003-4975(00)02570-4. - DOI - 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. Luketich JD, Alvelo-Rivera M, Buenaventura PO, et al. Minimally invasive esophagectomy: outcomes in 222 patients. Ann Surg. 2003;238:486–494. doi: 10.1097/01.sla.0000089858.40725.68. - DOI - PMC - PubMed
    1. Haverkamp L, Seesing MFJ, Ruurda JP, et al. Worldwide trends in surgical techniques in the treatment of esophageal and gastroesophageal junction cancer. Dis Esophagus. 2017;30:1–7. doi: 10.1111/dote.12480. - DOI - PubMed
    1. Espinoza-Mercado F, Imai TA, Borgella JD, et al. Does the approach matter? Comparing survival in robotic, minimally invasive, and open esophagectomies. Ann Thorac Surg. 2019;107:378–385. doi: 10.1016/j.athoracsur.2018.08.039. - DOI - PubMed

MeSH terms