Division of Upper GI and Metabolic Surgery, Department of Surgery, Faculty of Medicine, The Chinese University of Hong Kong, Shatin, Hong Kong.
4Chow Yuk Ho Technology Center for Innovative Medicine, The Chinese University of Hong Kong, Shatin, Hong Kong.
Surg Endosc. 2019 May;33(5):1683-1686. doi: 10.1007/s00464-018-06628-3. Epub 2019 Jan 2.
This is a preclinical cadaveric study to investigate the feasibility of transcervical esophagectomy using a novel single-port robotic surgical system.
A 40-mm cervical incision was created over left supraclavicular fossa. The novel da Vinci® SP™ Surgical System was introduced through a wound retraction port. The mobilization of esophagus was performed using da Vinci SP from cervical, thoracic to abdominal segments. Lymph nodes were dissected en bloc with esophagus.
The transcervical esophagectomy with complete mobilization of the cervical, thoracic, and abdominal esophagus was completed in 60 min. The procedure was completed using the novel da Vinci SP Surgical System, which was introduced via the cranial side over the left cervical incision. No additional port was used for retraction and dissection, and the esophageal hiatus could be reached after complete transcervical dissection.
This preclinical study demonstrated that transcervical esophagectomy is technically feasible and can be completed with the novel da Vinci SP Surgical System without additional ports or assistance. This will serve as an important step to the performance of robotic transcervical esophagectomy without the necessity of one-lung ventilation.
这是一项临床前尸体研究，旨在探讨使用新型单端口机器人手术系统行经颈段食管切除术的可行性。
在左锁骨上窝上方创建一个 40mm 的颈部切口。新型达芬奇® SP™ 手术系统通过伤口牵引端口引入。通过达芬奇 SP 从颈部、胸部到腹部段进行食管游离。整块切除食管周围淋巴结。
60 分钟内完成了经颈段、胸段和腹段完整游离的经颈段食管切除术。该手术是使用新型达芬奇 SP 手术系统完成的，该系统通过左颈部切口的颅侧引入。不需要额外的端口进行牵引和分离，并且可以在完全经颈段游离后到达食管裂孔。
这项临床前研究表明，经颈段食管切除术在技术上是可行的，并且可以使用新型达芬奇 SP 手术系统完成，无需额外的端口或辅助。这将是在无需单肺通气的情况下进行机器人经颈段食管切除术的重要一步。
