Robotic Minimally Invasive Esophagectomy.

Journal: Thoracic surgery clinics
Published Date: Feb 1, 2023

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.

Authors

  • Brian M Till
    Department of Surgery, Thomas Jefferson University Hospital, Sidney Kimmel Medical College, Thomas Jefferson University, Philadelphia, PA 19107, USA. Electronic address: https://twitter.com/BrianTillMD.
  • Tyler R Grenda
    Division of Thoracic and Esophageal Surgery, Sidney Kimmel Medical College, Thomas Jefferson University, 211 South 9th Street, Suite 300, Philadelphia, PA 19107, USA. Electronic address: https://twitter.com/tygrenda.
  • Olugbenga T Okusanya
    Division of Thoracic and Esophageal Surgery, Sidney Kimmel Medical College, Thomas Jefferson University, 211 South 9th Street, Suite 300, Philadelphia, PA 19107, USA. Electronic address: https://twitter.com/OkusanyaMD.
  • Nathaniel R Evans Iii
    Division of Thoracic and Esophageal Surgery, Sidney Kimmel Medical College, Thomas Jefferson University, 211 South 9th Street, Suite 300, Philadelphia, PA 19107, USA. Electronic address: Nathaniel.Evans@Jefferson.edu.

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