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Review
. 2023 Feb;33(1):81-88.
doi: 10.1016/j.thorsurg.2022.09.004.

Robotic Minimally Invasive Esophagectomy

Brian M Till  1 , Tyler R Grenda  2 , Olugbenga T Okusanya  3 , Nathaniel R Evans Iii  4
Affiliations
Review

Robotic Minimally Invasive Esophagectomy

Brian M Till et al. Thorac Surg Clin. 2023 Feb.

Abstract

Robotic minimally invasive esophagectomy can be safely performed by adhering to key technical principles. Careful development of the gastric conduit with attention to blood supply and conduit orientation is critical. During thoracic dissection, capnothorax can distort the proximity of key mediastinal structures. In particular, care must be taken to avoid damage to the left mainstem bronchus during subcarinal nodal dissection. Robotic approach allows for an oncologically sound procedure and early mobilization of patients postoperatively, thus optimizing short and long-term outcomes.

Keywords: Early recovery after surgery; Esophageal cancer; Esophagectomy; Minimally invasive; Robotic.

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Conflict of interest statement

Disclosure Dr O. Okusanya serves as a speaker for Intuitive Surgical. Dr N.R. Evans serves as a proctor and speaker for Intuitive Surgical.