RT Book, Section
A1 Graham, David B.
A1 Kernstine, Kemp H.
A2 Sugarbaker, David J.
A2 Bueno, Raphael
A2 Colson, Yolonda L.
A2 Jaklitsch, Michael T.
A2 Krasna, Mark J.
A2 Mentzer, Steven J.
A2 Williams, Marcia
A2 Adams, Ann
SR Print(0)
ID 1105847950
T1 Robotics: Esophagectomy
T2 Adult Chest Surgery, 2e
YR 2015
FD 2015
PB McGraw-Hill Education
PP New York, NY
SN 978-0-07-178189-3
LK accesssurgery.mhmedical.com/content.aspx?aid=1105847950
RD 2024/04/23
AB The  first  report  of  minimally  invasive  esophagectomy  (MIE)  appeared  in  the  early  1990s.  Whether  thoracoscopic,  laparoscopic,  transhiatal,  or  combined,  MIE  evolved  as  a  result  of  several  goals:  to  reduce  thoracotomy-related  chest  wall  discomfort  and  postoperative  debility;  to  achieve  a  more  frequent  R0  rate  and  better  lymphadenectomy;  and  to  achieve  superior  local  control  compared  with  the  MIE  transhiatal  esophagectomy.1,2  Robotic-assisted  esophageal  resection  emerged  onto  the  surgical  literary  scene  in  2003  and  2004  with  the  transhiatal  esophagectomy  and  3-field  esophagolymphadenectomy,  respectively.  The  advantages  of  robotic  technology  that  are  brought  to  this  procedure  include  multi-articulated  instruments  with  7  degrees  of  rotational  freedom,  referred  to  as  the  EndoWrist®,  simulating  normal  wrist  movements  thus  differentiating  the  robotic  system  from  standard  videoscopic  techniques;  and  the  three-dimensional  (3D)  imaging  provided  by  the  double  optic  system  allowing  depth  perception  that  improves  surgical  precision.  Subsequent  case  series  over  the  last  decade  have  accomplished  many  of  these  goals  while  conferring  clinical  advantages  of  minimally  invasive  surgery  (MIS),  thus  paving  a  road  for  the  different  methods  of  the  robotic-assisted  esophagectomy.