Robot-assisted cervical esophagectomy: first clinical experiences and review of the literature.

Journal: Diseases of the esophagus : official journal of the International Society for Diseases of the Esophagus
Published Date: Nov 26, 2020

Abstract

Pulmonary complications, and especially pneumonia, remain one of the most common complications after esophagectomy for esophageal cancer. These complications are reduced by minimally invasive techniques or by avoiding thoracic access through a transhiatal approach. However, a transhiatal approach does not allow for a full mediastinal lymphadenectomy. A transcervical mediastinal esophagectomy avoids thoracic access, which may contribute to a decrease in pulmonary complications after esophagectomy. In addition, this technique allows for a full mediastinal lymphadenectomy. A number of pioneering studies have been published on this topic. Here, the initial experience is presented as well as a review of the current literature concerning transcervical esophagectomy, with a focus on the robot-assisted cervical esophagectomy procedure.

Authors

  • Philip Wai-Yan Chiu
    Division of Upper GI and Metabolic Surgery, Department of Surgery, Faculty of Medicine, The Chinese University of Hong Kong, Hong Kong, China.
  • Eline Marieke de Groot
    Department of Surgery, University Medical Center Utrecht, Utrecht, The Netherlands.
  • Hon-Chi Yip
    Division of Upper GI and Metabolic Surgery, Department of Surgery, Faculty of Medicine, The Chinese University of Hong Kong, Hong Kong, China.
  • Jan-Hendrik Egberts
  • Peter Grimminger
    Klinik für Allgemein-, Viszeral- und Transplantationschirurgie, Universitätsmedizin Mainz, Deutschland.
  • Yasuyuki Seto
    Department of Gastrointestinal Surgery, Graduate School of Medicine, The University of Tokyo, Tokyo, 113-0033, Japan.
  • Ichiro Uyama
  • Pieter Christiaan van der Sluis
    Department of Surgery, G04.228, University Medical Center Utrecht, Heidelberglaan 100, 3584 CX, Utrecht, the Netherlands. Electronic address: p.c.vandersluis-2@umcutrecht.nl.
  • Hubert Stein
    Department of Global Clinical Development, Intuitive Surgical Inc., Sunnyvale, California.
  • Rubens Sallum
    Department of Gastroenterology, Digestive Surgery Division, Sao Paulo University, Sao Paulo, Brazil.
  • Jelle P Ruurda
    Department of Surgical Oncology, University Medical Center Utrecht, Utrecht, Netherlands.
  • Richard van Hillegersberg
    Department of Surgery, G04.228, University Medical Center Utrecht, Heidelberglaan 100, 3584 CX, Utrecht, the Netherlands.

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