Comparison of Clinical Efficacy Between Da Vinci Robot-Assisted Ivor Lewis Esophagectomy and McKeown Esophagectomy for Middle and Lower Thoracic Esophageal Cancer: A Multicenter Propensity Score-Matched Study

Hong, Ziqiang; Cui, Baiqiang; Wang, Kai; Bai, Xiangdou; Yang, Ning; Zhang, Yu; Wu, Xusheng; Cheng, Tao; Jin, Dacheng; Zhao, Jing; Gou, Yunjiu

doi:10.1245/s10434-023-14208-6

Ann Surg Oncol

2023

DOI: 10.1245/s10434-023-14208-6

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Comparison of Clinical Efficacy Between Da Vinci Robot-Assisted Ivor Lewis Esophagectomy and McKeown Esophagectomy for Middle and Lower Thoracic Esophageal Cancer: A Multicenter Propensity Score-Matched Study

Ziqiang Hong,

Baiqiang Cui,

Kai Wang

et al.

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Cited by 2 publications

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Learning curve for robot-assisted Mckeown esophagectomy in patients with thoracic esophageal cancer

Yuan,

Zhang,

2025

European Journal of Surgical Oncology

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Learning curve for robot-assisted Mckeown esophagectomy in patients with thoracic esophageal cancer

Yuan,

Zhang,

2025

European Journal of Surgical Oncology

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Efficacy of the da Vinci robot versus thoracoscopic surgery for patients with mediastinal tumors of different body mass index: a multicenter propensity score-matched study

Liu,

Hong,

Cao

et al. 2024

World J Surg Onc

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Background The purpose of the present study was to evaluate the efficacy and safety of da Vinci robot-assisted thoracoscopic surgery (RATS) versus video-assisted thoracoscopic surgery (VATS) for the treatment of patients with mediastinal tumors of different body mass indices (BMI). Methods A retrospective cohort study was used to collect 260 patients with mediastinal tumors admitted to three medical centers in China from December 2020 to March 2024. These patients underwent mediastinal tumor resection by RATS ( n = 125) or VATS ( n = 135). Propensity score matching (PSM) analysis was performed for the both groups, and further, the patients were divided into the N-BMI group (18.5 kg/m 2 ≤ BMI < 25 kg/m 2 ) and the H-BMI group (BMI ≥ 25 kg/m 2 ) based on their BMI to compare patients’ surgery-related information. Results The RATS group had more advantages than the VATS group in terms of intraoperative blood loss, total postoperative drainage, postoperative drainage time, and postoperative hospital stay. As for hospitalization costs, the VATS group was more advantageous. In the H-BMI group, subgroup analysis showed a statistically significant difference in shorter operative time and lower incidence of postoperative complications in the RATS group. Conclusion RATS has technical and short-term efficacy advantages in comparison with VATS, although it has the drawback of high costs associated with the treatment of mediastinal tumors. In the patients with mediastinal tumors of H-BMI, RATS can achieve better short-term outcomes and safety, especially in the reduction of the incidence of postoperative complications.

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Comparison of Clinical Efficacy Between Da Vinci Robot-Assisted Ivor Lewis Esophagectomy and McKeown Esophagectomy for Middle and Lower Thoracic Esophageal Cancer: A Multicenter Propensity Score-Matched Study

Cited by 2 publications

References 14 publications

Learning curve for robot-assisted Mckeown esophagectomy in patients with thoracic esophageal cancer

Learning curve for robot-assisted Mckeown esophagectomy in patients with thoracic esophageal cancer

Efficacy of the da Vinci robot versus thoracoscopic surgery for patients with mediastinal tumors of different body mass index: a multicenter propensity score-matched study

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