Department of General, Visceral and Transplant Surgery, University Medical Center of Johannes Gutenberg University, Mainz, Germany.
Department of Surgery, University Medical Center, Utrecht, the Netherlands.
Ann N Y Acad Sci. 2018 Dec;1434(1):21-26. doi: 10.1111/nyas.13676. Epub 2018 May 9.
We present an update on robotic techniques and their advantages and use in esophageal cancer surgery. Recent work has shown tremendous progress in robotic-assisted minimally invasive esophagectomy (RAMIE) and lymphadenectomy for esophageal cancer, as well as benefits of robotic surgery in high upper esophageal tumors and T4b disease. We discuss the different RAMIE techniques, especially for intrathoracic anastomosis. The ongoing ROBOT trial had demonstrated superiority of robotic esophageal cancer surgery over open esophagectomy. There are various putative technical advantages of RAMIE over minimally invasive esophagectomy, which need to be proven in future trials.
我们介绍了机器人技术及其在食管癌手术中的优势和应用的最新进展。最近的研究表明，机器人辅助微创食管切除术（RAMIE）和食管癌淋巴结清扫术取得了巨大进展，机器人手术在高位食管肿瘤和 T4b 疾病中也具有优势。我们讨论了不同的 RAMIE 技术，特别是胸腔内吻合术。正在进行的 ROBOT 试验已经证明了机器人食管癌手术优于开放食管癌手术。与微创食管切除术相比，RAMIE 具有多种假定的技术优势，但需要在未来的试验中得到证实。
