Department of Cardiothoracic Surgery, University of Pittsburgh Medical Center, Pittsburgh, Pennsylvania 15213, USA.
Dis Esophagus. 2012 Jul;25(5):403-9. doi: 10.1111/j.1442-2050.2011.01246.x. Epub 2011 Sep 7.
The use of the surgical robot has been increasing in thoracic surgery. Its three-dimensional view and instruments with surgical wrists may provide advantages over traditional thoracoscopic techniques. Our initial experience with thoracoscopic robot-assisted minimally invasive esophagectomy (RAMIE) for esophageal cancer was compared with our traditional thoracoscopic minimally invasive esophagectomy (MIE) approach for esophageal cancer. A retrospective review of a prospective database was performed. From July 2008 to October 2009, 43 patients underwent MIE resection. Patients who had benign disease and intrathoracic anastomosis were excluded. Results are presented as mean ± SD. Significance was set as P < 0.05. Eleven patients who underwent RAMIE and 26 who underwent MIE were included in the cohort. No differences in age, sex, race, body mass index, or preoperative radiotherapy or chemotherapy between the groups were observed. No significant differences in operative time, blood loss, number of resected lymph nodes, postoperative complications, days of mechanical ventilation, length of intensive care unit stay, or length of hospital stay were also observed. In this short-term study, RAMIE was found to be equivalent to thoracoscopic MIE and did not offer clear advantages.
胸腔手术中越来越多地使用手术机器人。其三维视野和具有手术手腕的器械可能比传统的胸腔镜技术具有优势。我们对胸腔镜机器人辅助微创食管切除术（RAMIE）治疗食管癌的初步经验与我们传统的胸腔镜微创食管切除术（MIE）方法进行了比较。对前瞻性数据库进行了回顾性审查。从 2008 年 7 月至 2009 年 10 月，有 43 名患者接受了 MIE 切除术。排除了良性疾病和胸腔内吻合的患者。结果以平均值±标准差表示。P<0.05 表示差异有统计学意义。有 11 名患者接受了 RAMIE 手术，26 名患者接受了 MIE 手术。两组患者在年龄、性别、种族、体重指数或术前放疗或化疗方面无差异。手术时间、出血量、切除淋巴结数量、术后并发症、机械通气天数、重症监护病房住院天数和住院天数也无显著差异。在这项短期研究中，RAMIE 与胸腔镜 MIE 相当，没有明显优势。
