Robot-assisted thoracoscopic esophagectomy with extensive mediastinal lymphadenectomy: experience with 114 consecutive patients with intrathoracic esophageal cancer

2015 ◽  
Vol 29 (4) ◽  
pp. 326-332 ◽  
Author(s):  
S. Y. Park ◽  
D. J. Kim ◽  
W. S. Yu ◽  
H. S. Jung
Keyword(s):  
Esophageal Cancer ◽  
Thoracoscopic Esophagectomy ◽  
Robot Assisted ◽  
Mediastinal Lymphadenectomy

scholarly journals Effective Mediastinal Lymphadenectomy for Esophageal Cancer Using Slender Tracheal Forceps in Prone Position Thoracoscopic Esophagectomy

In Vivo ◽  
2016 ◽  
Vol 30 (6) ◽  
pp. 893-898
Author(s):  
MASANOBU NAKAJIMA ◽  
MASAKAZU TAKAHASHI ◽  
YASUSHI DOMEKI ◽  
HITOSHI SATOMURA ◽  
HIROTO MUROI ◽  
...  
Keyword(s):  
Esophageal Cancer ◽  
Prone Position ◽  
Thoracoscopic Esophagectomy ◽  
Mediastinal Lymphadenectomy

scholarly journals Lower local recurrence rate after robot-assisted thoracoscopic esophagectomy than conventional thoracoscopic surgery for esophageal cancer

2021 ◽  
Vol 11 (1) ◽  
Author(s):  
Satoru Motoyama ◽  
Yusuke Sato ◽  
Akiyuki Wakita ◽  
Yushi Nagaki ◽  
Hiromu Fujita ◽  
...  
Keyword(s):  
Esophageal Cancer ◽  
Local Recurrence ◽  
Lymph Nodes ◽  
Thoracoscopic Surgery ◽  
Thoracoscopic Esophagectomy ◽  
Anastomotic Site ◽  
Recurrent Nerve ◽  
Robot Assisted ◽  
Paraaortic Lymph Nodes ◽  
Surgical Field

AbstractThe oncological advantages of robot-assisted thoracoscopic esophagectomy (RATE) over conventional thoracoscopic esophagectomy (TE) for thoracic esophageal cancer have yet to be verified. In this study, we retrospectively analyzed clinical data to compare the incidences of recurrence within the surgical field after RATE and TE as an indicator of local oncological control. Among 121 consecutive patients with thoracic esophageal or esophagogastric junction cancers for which thoracoscopic surgery was indicated, 51 were treated with RATE while 70 received TE. The number of lymph nodes dissected from the mediastinum, duration of the thoracic portion of the surgery, and morbidity due to postoperative complications did not differ between the two groups. However, the rate of overall local recurrence within the surgical field was significantly (P = 0.039) higher in the TE (9%) than the RATE (0%) group. Lymph node recurrence within the surgical field occurred in left recurrent nerve, left tracheobronchial, left main bronchus and thoracic paraaortic lymph nodes, which were all difficult to approach to dissect. The other two local failures occurred around the anastomotic site. This study indicates that using RATE enabled the incidence of recurrence within the surgical field to be reduced, though there were some limitations.

scholarly journals Evaluation of Mediastinal Lymphadenectomy by Minithoracotomy Assisted Thoracoscopic Esophagectomy for Esophageal Cancer.

1999 ◽  
Vol 32 (8) ◽  
pp. 2058-2063
Author(s):  
Masashi Takemura ◽  
Harushi Osugi ◽  
Taigo Tokuhara ◽  
Nobuyasu Takada ◽  
Hiroaki Kinoshita ◽  
...  
Keyword(s):  
Esophageal Cancer ◽  
Thoracoscopic Esophagectomy ◽  
Mediastinal Lymphadenectomy

scholarly journals Salvage Robotic-Assisted Thoracoscopic Esophagectomy after Definitive Chemoradiotherapy for Clinical T4b Esophageal Cancer: A Case Report

2021 ◽  
Author(s):  
Ryohei Sasamori ◽  
Satoru Motoyama ◽  
Yusuke Sato ◽  
Akiyuki Wakita ◽  
Yushi Nagaki ◽  
...  
Keyword(s):  
Esophageal Cancer ◽  
Main Bronchus ◽  
Left Main Bronchus ◽  
Thoracoscopic Esophagectomy ◽  
Left Main ◽  
Robot Assisted ◽  
Definitive Chemoradiotherapy ◽  
Thoracic Esophageal Cancer ◽  
Robotic Assisted ◽  
Salvage Esophagectomy

Abstract BackgroundAlthough twenty years have passed since the start of robot-assisted thoracoscopic esophagectomy, salvage esophagectomy by robotic-assisted surgery has not yet been introduced by almost surgeons. Theoretically, robot-assisted thoracoscopic esophagectomy (RATE) increases operative precision and maneuverability within the narrow space of the mediastinum. However, surgeons have doubted that RATE is indicated for patients with tumor invasion of adjacent vital organs clinically (cT4b) or patients with scar tissue from definitive chemoradiotherapy. Herein, we report our case of salvage RATE for cT4b thoracic esophageal cancer which invaded to the left main bronchus before definitive chemoradiotherapy.Case presentationA man in his 60’s with middle thoracic esophageal cancer [cT4b (left main bronchus) N1 M0 cStage IIIC] received definitive chemoradiotherapy (fluorouracil and cisplatin, total radiation dose of 60 Gy). After the chemoradiotherapy, upper gastrointestinal endoscopy revealed a residual primary tumor, and we performed robotic-assisted thoracoscopic subtotal esophagectomy and gastric tube reconstruction via a retrosternal route with three-field lymphadenectomy. Although it was difficult to dissect the tumor from adjacent organs, especially in the left main bronchus and pericardium, due to the scarring after definitive chemoradiotherapy, R0 surgery was achieved. With RATE, the high-resolution three-dimensional images, stable surgical field and stable motion are considerable advantages for salvage esophagectomy for cT4b tumors. At present (30 months after surgery), the patient’s performance status is 0 and he is alive without a recurrence. ConclusionsRobot-assisted thoracoscopic esophagectomy provided considerable advantages for salvage esophagectomy after definitive chemoradiotherapy for a cT4b tumor.

Robot-assisted Esophagectomy for Esophageal Cancer—Update—

2019 ◽  
Vol 70 (2) ◽  
pp. 57-57
Author(s):  
Y. Seto ◽  
S. Aikou ◽  
K. Yagi ◽  
H. Yamashita ◽  
K. Mori
Keyword(s):  
Esophageal Cancer ◽  
Robot Assisted

Mediastinal Lymphadenectomy in Decubitus-prone “Hybrid” Thoracoscopic Esophagectomy

2010 ◽  
Vol 61 (2) ◽  
pp. 153-155
Author(s):  
H. Takeuchi ◽  
T. Oyama ◽  
Y. Saikawa ◽  
R. Nakamura ◽  
T. Takahashi ◽  
...  
Keyword(s):  
Thoracoscopic Esophagectomy ◽  
Mediastinal Lymphadenectomy
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