Search results for "Intrathoracic anastomosis"

showing 3 items of 3 documents

Technical details of the hand-sewn and circular-stapled anastomosis in robot-assisted minimally invasive esophagectomy.

2020

SUMMARY The circular mechanical and hand-sewn intrathoracic anastomosis are most often used in robot-assisted minimally invasive esophagectomy (RAMIE). The aim of this study was to describe the technical details of both techniques that were pioneered in two high volume centers for RAMIE. A prospectively maintained database was used to identify patients with esophageal cancer who underwent RAMIE with intrathoracic anastomosis. The primary outcome was anastomotic leakage, which was analyzed using a moving average curve. For the hand-sewn anastomosis, video recordings were reviewed to evaluate number of sutures and distances between the anastomosis and the longitudinal staple line or gastric c…

Stapled anastomosismedicine.medical_specialtyEsophageal Neoplasmsbusiness.industryAnastomosis SurgicalSuture TechniquesGastroenterologyAnastomotic LeakGeneral MedicineRoboticsAnastomosisSurgeryEsophagectomyIntrathoracic anastomosisPrimary outcomeTreatment OutcomeAnastomotic leakageStaple lineInvasive esophagectomySurgical StaplingmedicineHumansbusinessHand sewnDiseases of the esophagus : official journal of the International Society for Diseases of the Esophagus
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Surgical robotics for esophageal cancer

2018

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.

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 activitiesAnnals of the New York Academy of Sciences
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P123 ROBOT ASSISTED MINIMALLY INVASIVE ESOPHAGECTOMY (RAMIE4) WITH INTRATHORACIC ANASTOMOSIS: PROMISING RESULTS AND LESSONS LEARNED IN 100 PATIENTS

2019

Abstract Aim The aim of this study was to describe postoperative complications and short-term oncologic outcomes for RAMIE4 with intrathoracic anastomosis for esophageal cancer within our case series of 100 consecutive patients. Background & Methods Robot assisted minimally-invasive esophagectomy (RAMIE) with intrathoracic anastomosis is gaining popularity as a treatment for esophageal cancer. In this study, we present the results of 100 RAMIE procedures using the da Vinci Xi robotic system (RAMIE4). The aim of this study was to describe postoperative complications and short-term oncologic outcomes for RAMIE4 within our case series of 100 consecutive patients. Between January 2017 and F…

medicine.medical_specialtyIntrathoracic anastomosisbusiness.industryInvasive esophagectomyGastroenterologymedicineGeneral MedicinebusinessSurgeryDiseases of the Esophagus
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