Merboth Felix, Distler Marius, Weitz Jürgen
Klinik und Poliklinik für Viszeral‑, Thorax- und Gefäßchirurgie, Universitätsklinikum Carl Gustav Carus, Fetscherstr. 74, 01307, Dresden, Deutschland.
Nationales Centrum für Tumorerkrankungen (NCT/UCC), Dresden, Deutschland: Deutsches Krebsforschungszentrum (DKFZ), Heidelberg, Deutschland; Medizinische Fakultät und Universitätsklinikum Carl Gustav Carus, Technische Universität Dresden, Dresden, Deutschland; Helmholtz-Zentrum Dresden-Rossendorf (HZDR), Dresden, Deutschland.
Chirurgie (Heidelb). 2023 Sep;94(9):812-820. doi: 10.1007/s00104-023-01829-6. Epub 2023 Mar 13.
Robot-assisted minimally invasive esophagectomy (RAMIE) is increasingly becoming established as a standard procedure in surgical centers for esophagectomy in cases of cancer. To date, RAMIE has been shown to have fewer postoperative complications and at least equivalent oncological outcomes compared with open resection. Compared with classical minimally invasive resection, there seem to be fewer cases of postoperative pneumonia after RAMIE. In addition, a higher number of harvested lymph nodes could lead to better oncological long-term outcomes. The learning curve for this complex surgical procedure is relatively shallow but can be greatly reduced at high-volume centers through special training and proctoring programs. Robotic surgical approaches have also been described for other esophageal diseases; however, no clear superiority compared to laparoscopic surgery has so far been shown.
机器人辅助微创食管切除术(RAMIE)在癌症患者食管切除手术中心正日益成为一种标准术式。迄今为止,与开放切除术相比,RAMIE已显示出术后并发症更少且肿瘤学结局至少相当。与传统微创切除术相比,RAMIE术后肺炎的病例似乎更少。此外,获取更多数量的淋巴结可能会带来更好的肿瘤学长期结局。这种复杂手术操作的学习曲线相对较浅,但在高容量中心通过特殊培训和指导计划可大幅缩短。机器人手术方法也已应用于其他食管疾病;然而,目前尚未显示出与腹腔镜手术相比有明显优势。