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RESEARCH PRODUCT

Surgical robotics for esophageal cancer

Sylvia Van Der HorstPeter P. GrimmingerMarc J. Van DetPhilippe MorelRichard Van HillegersbergJelle P. Ruurda

subject

medicine.medical_specialtyEsophageal Neoplasmsmedicine.medical_treatmentOESOGeneral Biochemistry Genetics and Molecular Biology03 medical and health sciences0302 clinical medicineRobotic Surgical ProceduresHistory and Philosophy of ScienceEsophageal tumorsInvasive esophagectomymedicineHumansMinimally Invasive Surgical ProceduresRobotic surgeryMinimally invasiveSurgical roboticsRAMIEddc:617business.industryGeneral NeuroscienceGeneral surgerytechnology industry and agricultureEsophageal cancermedicine.diseaseRoboticEsophagectomybody regionssurgical procedures operativeIntrathoracic anastomosisEsophagectomy030220 oncology & carcinogenesis030211 gastroenterology & hepatologyLymphadenectomybusinesshuman activities

description

We present an update on robotic techniques and their advantages and use in esophageal cancer surgery. Recent work has shown tremendous progress in robotic-assisted minimally invasive esophagectomy (RAMIE) and lymphadenectomy for esophageal cancer, as well as benefits of robotic surgery in high upper esophageal tumors and T4b disease. We discuss the different RAMIE techniques, especially for intrathoracic anastomosis. The ongoing ROBOT trial had demonstrated superiority of robotic esophageal cancer surgery over open esophagectomy. There are various putative technical advantages of RAMIE over minimally invasive esophagectomy, which need to be proven in future trials.

https://doi.org/10.1111/nyas.13676