Department of General, Visceral and Transplant Surgery, University Medical Center of the Johannes Gutenberg University, Mainz, Germany.
Department of General Surgery, IRCCS Policlinico San Donato, University of Milan, Milano, Italy.
Dis Esophagus. 2022 Aug 13;35(8). doi: 10.1093/dote/doab088.
Robotic-assisted minimally invasive esophagectomy (RAMIE) represents an established approach for the treatment of esophageal cancer. Aim of this study is to evaluate the feasibility and safety of our technique for performing the intrathoracic anastomosis during RAMIE.All the procedures were performed by the same surgeon using the same technique for performing the intrathoracic anastomosis. Intraoperative and postoperative outcomes were recorded. Postoperative complications were classified according to the Esophagectomy Complications Consensus Group (ECCG); the primary outcome was the evaluation of the feasibility and safety of our technique. From 2016 to 2021, 204 patients underwent Ivor Lewis RAMIE at our Center. Two patients (0.9%) were converted during the thoracic phase. The anastomosis was completed in all the other patients forming complete anastomotic rings. The median duration for the robotic-assisted thoracoscopic phase was 224 minutes. Twenty-two of the RAMIE-Ivor Lewis patients had an anastomotic leakage (10.3%). The overall 90-day postoperative mortality was 1.9%. The procedure resulted to be feasible and safe in our cohort of patients.
机器人辅助微创食管切除术 (RAMIE) 是治疗食管癌的一种成熟方法。本研究旨在评估我们在 RAMIE 中进行胸内吻合的技术的可行性和安全性。所有手术均由同一位外科医生使用相同的技术进行胸内吻合。记录术中及术后结果。根据食管癌并发症共识小组 (ECCG) 对术后并发症进行分类；主要结果是评估我们技术的可行性和安全性。2016 年至 2021 年，我们中心有 204 例患者接受了 Ivor Lewis RAMIE。有 2 例患者（0.9%）在胸段中转。其他所有患者均完成吻合，形成完整的吻合环。机器人辅助胸腔镜阶段的中位时间为 224 分钟。22 例 RAMIE-Ivor Lewis 患者发生吻合口漏（10.3%）。总的 90 天术后死亡率为 1.9%。该手术在我们的患者队列中是可行和安全的。
