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RESEARCH PRODUCT
Innovative fully robotic 4-arm Ivor Lewis esophagectomy for esophageal cancer (RAMIE4).
P C Van Der SluisBenjamin BabicPeter P. GrimmingerHauke LangEdin Hadzijusufovicsubject
ThoraxMalemedicine.medical_specialtyEsophageal NeoplasmsAdenocarcinoma03 medical and health sciences0302 clinical medicineEsophagusRobotic Surgical ProceduresGermanyMedicineIvor lewisHumansRobotic surgeryNeoplasm Stagingbusiness.industryThoracoscopyAbdominal WallAnastomosis Surgicaltechnology industry and agricultureGastroenterologyGeneral MedicineEsophageal cancerMiddle Agedmedicine.diseaseStandard techniqueSurgerybody regionsEsophagectomysurgical procedures operativeRobotic systemsmedicine.anatomical_structureOutcome and Process Assessment Health CareCardiothoracic surgery030220 oncology & carcinogenesisAbdomenFeasibility Studies030211 gastroenterology & hepatologyFemalebusinesshuman activitiesdescription
Nowadays robotic surgery is established for abdominal and thoracic surgery. It has been shown that complex procedures are feasible using robotic systems, e.g., da Vinci Xi, with a huge benefit in precision. Different techniques for esophageal cancer surgery are reported; however, only a few robotic and partial robotic procedures are described. Therefore, a fully robotic (abdominal and thoracic) Ivor Lewis esophageal resection using four robotic arms-RAMIE4-the standard technique used for lower esophageal cancer, is presented in this paper. The technique shown in the video was performed successfully in 100 cases in 24 months. The reconstruction is performed with a gastric conduit pull-up and intrathoracic manually inserted 28-mm circular end-to-side stapled anastomosis. This video demonstrates the feasibility of RAMIE4 in the abdomen and thorax and reveals advantages of the robotic assistance.
| year | journal | country | edition | language |
|---|---|---|---|---|
| 2019-04-12 | Diseases of the esophagus : official journal of the International Society for Diseases of the Esophagus |