+ Site Statistics
+ Search Articles
+ PDF Full Text Service
How our service works
Request PDF Full Text
+ Follow Us
Follow on Facebook
Follow on Twitter
Follow on LinkedIn
+ Subscribe to Site Feeds
Most Shared
PDF Full Text
+ Translate
+ Recently Requested

Initial results of robot-assisted Ivor-Lewis oesophagectomy with intrathoracic hand-sewn anastomosis in the prone position

Initial results of robot-assisted Ivor-Lewis oesophagectomy with intrathoracic hand-sewn anastomosis in the prone position

International Journal of Medical Robotics + Computer Assisted Surgery 10(4): 397-403

There is scanty experience concerning robot-assisted Ivor-Lewis oesophagectomy, so every new experience is helpful. We describe the techniques and short-term results of Ivor-Lewis oesophagectomy using a laparoscopic approach and robot-assisted thoracoscopy, and an observational study of prospective surveillance of the first 14 patients treated for oesophageal cancer. A gastric tube was created laparoscopically. Oesophagectomy was performed through a robot-assisted thoracoscopy followed by hand-sewn intrathoracic anastomosis. There were no conversion cases. Mortality was zero. Six patients had a major complication. There were no cases of respiratory complication or recurrent laryngeal nerve palsy. Three patients had a radiological fistula (21.4%), successfully treated by endoscopic stenting, and one (7.1%) had an anastomosis leak needing reoperation. There were two cases of chylothorax (14.3%). Our initial results suggest that the reported technique is safe and satisfies the oncological principles. It provides the advantages of minimally invasive surgery by overcoming some limitations of conventional thoracoscopy.

Please choose payment method:

(PDF emailed within 0-6 h: $19.90)

Accession: 053874291

Download citation: RISBibTeXText

PMID: 24782293

DOI: 10.1002/rcs.1587

Related references

Robot-assisted Ivor-Lewis esophagectomy with intrathoracic robot-sewn anastomosis. Journal of Thoracic Disease 9(11): E990-E993, 2017

Robot-assisted Ivor Lewis esophagectomies with hand sewn anastomosis: Short-term outcome. European Journal of Surgical Oncology (Ejso) 42(9): S71-S72, 2016

Robot-sewn Ivor-Lewis anastomosis: preliminary experience and technical details. International Journal of Medical Robotics + Computer Assisted Surgery 12(3): 421-426, 2017

Robot-Assisted Oesophagectomy: Recommendations Towards a Standardised Ivor Lewis Procedure. Journal of Gastrointestinal Surgery 2019, 2019

Modified Intrathoracic Esophagogastrostomy with Minimally Invasive Robot-Assisted Ivor-Lewis Esophagectomy for Cancer. Digestive Surgery 36(3): 218-225, 2018

Ivor Lewis esophagectomy with manual esogastric anastomosis by thoracoscopy in prone position and laparoscopy. Surgical Endoscopy 24(6): 1482-1485, 2010

Oesogastric anastomosis technique by thoracoscopy in prone position during Ivor Lewis procedure (with video). Journal of Visceral Surgery 2019, 2019

Robotic-Assisted Ivor Lewis Esophagectomy (RAMIE) with a Standardized Intrathoracic Circular End-to-side Stapled Anastomosis and a Team of Two (Surgeon and Assistant Only). Thoracic and Cardiovascular Surgeon 66(5): 404-406, 2017

Robot-assisted laparoscopic intracorporeal hand-sewn bowel anastomosis during pediatric bladder reconstructive surgery. Journal of Endourology 24(8): 1325-1328, 2010

Is hand-sewn anastomosis superior to stapled anastomosis following oesophagectomy?. International Journal of Surgery 12(5): 7-15, 2014

Initial experience of robot-assisted Ivor-Lewis esophagectomy: 61 consecutive cases from a single Chinese institution. Diseases of the Esophagus 31(12), 2018

Using the Hand-Sewn Purse-String Stapled Anastomotic Technique for Minimally Invasive Ivor Lewis Esophagectomy. Thoracic and Cardiovascular Surgeon 2018, 2018

Full robot-assisted gastrectomy with intracorporeal robot-sewn anastomosis produces satisfying outcomes. World Journal of Gastroenterology 19(38): 6427-6437, 2014

Robot-sewn ileoileal anastomosis during robot-assisted cystectomy. World Journal of Urology 36(7): 1079-1084, 2018

VATS hand sewn intrathoracic esophagogastric anastomosis. Journal of Visualized Surgery 3: 90-90, 2017