Robot-assisted minimally invasive esophagectomy: The current situation
Jeune, Florence
Robot-assisted minimally invasive esophagectomy: The current situation - 2022.
18
Esophagectomy for cancer is a surgery associated with an overall morbidity of above 50%. Hybrid or total minimally invasive esophagectomy result in fewer severe complications, less postoperative pain, and better postoperative quality of life, leading to a shorter functional recovery and length of hospital stay. Nevertheless, a minimally invasive esophagectomy is a demanding procedure, due especially to intrathoracic anastomoses. It requires a lengthy learning curve, and a large number of procedures that may limit the spread of this minimally invasive approach. The surgical robot has several advantages, including high-definition 3D vision controlled by the surgeon and articulated instruments that improve surgical ability, especially for surgeons inexperienced in laparoscopy. Robotic systems may contribute to implementing the minimally invasive approach for complex procedures such as esophagectomies. Robot-assisted minimally invasive esophagectomies are associated with a reduction of overall surgery and cardiopulmonary complications compared to open surgery with similar oncological outcomes. The benefit of the robotic approach over the conventional minimally invasive approach is being evaluated. The robotic approach may improve lymphadenectomies and increase the rate of complete macroscopic resection in locally advanced tumors. It also could increase the feasibility and safety of intrathoracic anastomoses using a minimally invasive approach. The robotic system appears to encourage the development of major innovations and safe surgical procedures. This mini review is an update of the main data published in the literature that have evaluated the robot-assisted minimally invasive esophagectomy in esophageal cancer.
Robot-assisted minimally invasive esophagectomy: The current situation - 2022.
18
Esophagectomy for cancer is a surgery associated with an overall morbidity of above 50%. Hybrid or total minimally invasive esophagectomy result in fewer severe complications, less postoperative pain, and better postoperative quality of life, leading to a shorter functional recovery and length of hospital stay. Nevertheless, a minimally invasive esophagectomy is a demanding procedure, due especially to intrathoracic anastomoses. It requires a lengthy learning curve, and a large number of procedures that may limit the spread of this minimally invasive approach. The surgical robot has several advantages, including high-definition 3D vision controlled by the surgeon and articulated instruments that improve surgical ability, especially for surgeons inexperienced in laparoscopy. Robotic systems may contribute to implementing the minimally invasive approach for complex procedures such as esophagectomies. Robot-assisted minimally invasive esophagectomies are associated with a reduction of overall surgery and cardiopulmonary complications compared to open surgery with similar oncological outcomes. The benefit of the robotic approach over the conventional minimally invasive approach is being evaluated. The robotic approach may improve lymphadenectomies and increase the rate of complete macroscopic resection in locally advanced tumors. It also could increase the feasibility and safety of intrathoracic anastomoses using a minimally invasive approach. The robotic system appears to encourage the development of major innovations and safe surgical procedures. This mini review is an update of the main data published in the literature that have evaluated the robot-assisted minimally invasive esophagectomy in esophageal cancer.
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