Complications of robotic foregut surgery: risks and advantages

Luo, Ran B.; Montalvo, Domingo; Suzuki, Toshiaki; Sandler, Bryan J.; Jacobsen, Garth R.; Horgan, Santiago

doi:10.23736/s0026-4733.16.07207-2

Cited by 4 publications

(5 citation statements)

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“…A total of 390 potentially relevant citations were identified, of which 146 were included at the abstract screening level. Six abstracts for systematic reviews 15 , 16 , 17 , 18 , 19 , 37 and 1 abstract for a meta-analysis 38 were identified at this stage. The meta-analysis of 8 observational studies 38 compared RAMIE with VAMIE and found that RAMIE was associated with less EBL and vocal cord palsy.…”

Section: Resultsmentioning

confidence: 99%

“…The meta-analysis of 8 observational studies 38 compared RAMIE with VAMIE and found that RAMIE was associated with less EBL and vocal cord palsy. Two systematic reviews 15 , 16 analyzed robotic foregut surgery and were not specific to esophageal cancer; 2 studies 18 , 19 mostly compared minimally invasive esophagectomy (RAMIE and VAMIE combined) with OE; 1 systematic review 17 included studies for robot-assisted gastrectomy and esophagectomy without comparator groups; and 1 systematic review 37 did not specifically include RAMIE. From these, 45 studies underwent full-text review.…”

Section: Resultsmentioning

confidence: 99%

“…13 , 14 Despite the rapid adoption of RAMIE, questions about its utility compared with other minimally invasive approaches and OE remain, especially with regard to long-term oncologic outcomes. Individual studies and systematic reviews comparing RAMIE with other minimally invasive approaches and OE have been limited by 1 or more of the following: inclusion of cases and/or studies not specific to esophageal cancer 15 , 16 ; inclusion of studies without comparator groups (ie, case series) 17 ; and comparison of minimally invasive esophagectomy with OE without analyzing RAMIE and video-assisted minimally invasive esophagectomy (VAMIE) separately. 18 , 19 Discerning differences between techniques is further complicated by the various techniques used for esophagectomy (Ivor-Lewis, McKeown, and transhiatal) and by the fact that the contribution of the robot to the abdominal or thoracic phase is not clear.…”

Section: Introductionmentioning

confidence: 99%

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Comparison of Clinical Outcomes of Robot-Assisted, Video-Assisted, and Open Esophagectomy for Esophageal Cancer

et al. 2021

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Comparison of Clinical Outcomes of Robot-Assisted, Video-Assisted, and Open Esophagectomy for Esophageal Cancer

et al. 2021

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“…Milone et al [14] compared laparoscopic and robotic Heller myotomy and reported significant lower rate of intraoperative esophageal perforations (OR = 0.13, P < 0.001, 95% CI 0.04, 0.45) in robotic approach, respectively. Luo et al reported robotic surgery was similar or superior to laparoscopic surgery in terms of intraoperative and postoperative complications in a review of 98 articles related to the suitability of robotic surgery for foregut surgery [15].…”

Section: Discussionmentioning

confidence: 99%

Robotic Surgery for the Treatment of Achalasia Cardia: Surgical Technique, Initial Experiences and Literature Review

Uzunoglu¹,

Altıntoprak²,

Yalkın³

et al. 2022

Cureus

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BackgroundThe outcomes of surgical interventions for achalasia treatment improved with the advent of minimally invasive surgery and the introduction of robotic surgery. This article describes the technical details of robotic achalasia surgery, shares our initial experiences, and discusses why robotic surgery will become the first choice for the surgical treatment of achalasia. MethodsThe records of patients with a diagnosis of achalasia who underwent robotic surgery were evaluated retrospectively. The patients' data were examined in terms of demographic parameters, duration of complaints, treatment options applied previously, robotic surgery technique, and postoperative outcomes. ResultsOf the six patients evaluated, four (66.7%) were males and two (33.3%) were females. Their mean age was 32 years (20-51 years), and the mean symptom duration was 4.6 years (2-9 years). All of the patients underwent robotic Heller cardiomyotomy surgery. After the myotomy procedure, five of the six patients (83.3%) underwent partial anterior fundoplication (Dor) as an antireflux procedure. The cruroraphy procedure was performed in one patient (16.7%) due to accompanying hiatal hernia, whereas the procedures were completed in five patients (83.3%) without performing posterior dissection of the oesophagus. In the postoperative follow-up period, no surgical problem was encountered, while reflux symptoms developed in one patient (16.7%) and were controlled by medical therapy. ConclusionsThe success of surgical treatment of achalasia is incontrovertible. Due to the various advantages of robotic surgery, it is now frequently used in narrow-area surgeries, such as achalasia surgery.

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“…The advantages of the minimally invasive approach are near obvious, with shorter lengths of confinement, less pain, and quicker returns to functional activities. 1 The robotic platform provides, relative to laparoscopic operations, improved visualization, improved dexterity, and increased facility in undertaking complex tasks, such as sewing. 2 Because of these advantages, robotic platforms (also called computer-aided surgery platforms), nearly uniformly da VinciÔ surgical systems from Intuitive Surgical, Inc., have become available across the United States with now more than 5000 such platforms in use and more than 1 000 000 robotic operations undertaken annually.…”

Section: Introductionmentioning

confidence: 99%

Robot Application for Hepatopancreatic Disorders, Gastroesophageal Reflux Disease, and Achalasia

Rosemurgy

Bourdeau

Luberice

et al. 2021

The American Surgeon™

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Introduction We undertook this study to describe the number and variety of robotic operations undertaken for hepatopancreatic and esophageal disorders. Methods Data from 2015 through March of 2018 were analyzed for da Vinci™ robot application for hepatopancreatic disorders, gastroesophageal reflux disease (GERD), and achalasia. Results From 2015 through 2017, robotic hepatopancreatic operations increased 49%, robotic hepatic operations increased 107%, and robotic pancreatic operations increased 26%. Quarter after quarter, robotic application increased for hepatopancreatic operations, hepatic operations, and pancreatic operations ( P < .001 for each) with acceleration over the most recent months. The application of the Xi robot platform increased from 12% of robotic hepatopancreatic operations in 2015-71% in 2018 (1075% increase in numbers). From 2015 through 2017, robotic fundoplications and myotomies increased by 55%, robotic fundoplications increased by 59%, and robotic Heller myotomies increased by 211%. Quarter after quarter, robotic application increased for fundoplications and Heller myotomies ( P < .001 for each) with acceleration over the most recent months. The application of the Xi robot platform increased from 13% of these robotic operations in 2015-64% in 2018 (935% increase in numbers). Less than 10% of hepatopancreatic operations, fundoplications, and myotomies are undertaken robotically. Conclusions There has been an accelerating increase in the number of robotic operations for hepatopancreatic disorders, GERD, and achalasia over the past 3 ¼ years. Application of the Xi robot has dramatically increased, both absolutely and relatively. Still only a small proportion of operations for hepatopancreatic disorders, GERD, and achalasia use the robotic platform; this is changing fast.

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Complications of robotic foregut surgery: risks and advantages

Cited by 4 publications

References 0 publications

Comparison of Clinical Outcomes of Robot-Assisted, Video-Assisted, and Open Esophagectomy for Esophageal Cancer

Comparison of Clinical Outcomes of Robot-Assisted, Video-Assisted, and Open Esophagectomy for Esophageal Cancer

Robotic Surgery for the Treatment of Achalasia Cardia: Surgical Technique, Initial Experiences and Literature Review

Robot Application for Hepatopancreatic Disorders, Gastroesophageal Reflux Disease, and Achalasia

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