Vetshev F P, Shestakov A L, Tadzhibova I M, Tskhovrebov A T, Bitarov T T, Shakhbanov M E
Petrovsky Russian Research Centre of Surgery, Moscow, Russia.
Khirurgiia (Mosk). 2021(2):20-26. doi: 10.17116/hirurgia202102120.
To report our initial experience of robot-assisted McKeown esophagectomy with stapled cervical esophagogastrostomy.
There were 5 robot-assisted McKeown esophagectomies in patients with benign end-staged and malignant diseases of the esophagus for the period from October 2019 to February 2020.
No conversions and intraoperative complications were observed. Mean surgery time was 406±48 min, total intraoperative blood loss - 108±45 ml. Four patients had minor complications (wound infection, atelectasis, pneumothorax) that required conservative treatment. We have controlled anastomosis in 2-3 postoperative days with water-soluble contrast, none patient had an anastomotic leakage. Mean hospital-stay was 5 days. Complete (R0) resection was accomplished in all patients with malignant neoplasms.
Our first experience showed that robot-assisted McKeown esophagectomy is a safe and feasible surgical option for esophageal diseases. Robot-assisted interventions require advanced endoscopic surgical experience.
报告我们在机器人辅助下进行麦克尤恩食管切除术并采用吻合器行颈部食管胃吻合术的初步经验。
2019年10月至2020年2月期间，对5例患有食管良性终末期疾病和恶性疾病的患者实施了机器人辅助麦克尤恩食管切除术。
未观察到中转开腹及术中并发症。平均手术时间为406±48分钟，术中总失血量为108±45毫升。4例患者出现轻微并发症（伤口感染、肺不张、气胸），需保守治疗。我们在术后2至3天用水溶性造影剂检查吻合口，无患者发生吻合口漏。平均住院时间为5天。所有恶性肿瘤患者均实现了根治性（R0）切除。
我们的首次经验表明，机器人辅助麦克尤恩食管切除术是治疗食管疾病的一种安全可行的手术选择。机器人辅助手术需要有先进的内镜手术经验。
