Extensive Lymph Node Dissection Around the Left Laryngeal Nerve Achieved With Robot-assisted Thoracoscopic Esophagectomy

Motoyama, Satoru; Sato, Yusuke; Wakita, Akiyuki; Kawakita, Yuta; Nagaki, Yushi; Imai, Kazuhiro; Minamiya, Yoshihiro

doi:10.21873/anticanres.13246

Cited by 29 publications

(44 citation statements)

References 12 publications

(15 reference statements)

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Section: Lymph Node Dissection In Minimally Invasive Esophagectomymentioning

confidence: 99%

“…As robotic surgical platforms provide some technical advantages, such as articulating arms and ×10 magnification with 3-dimensional vision, some reports have suggested that RAMIE is feasible for upper mediastinal LN dissection, especially for recurrent laryngeal nerve LNs [ 58 , 59 ]. Our group compared outcomes between RAMIE and conventional MIE and reported that the total number of harvested LNs was significantly higher in RAMIE than in conventional MIE [ 60 ].…”

Section: Lymph Node Dissection In Minimally Invasive Esophagectomymentioning

confidence: 99%

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Current Issues in Minimally Invasive Esophagectomy

Kang

2020

Korean J Thorac Cardiovasc Surg

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Minimally invasive esophagectomy (MIE) was first introduced in the 1990s. Currently, it is a widely accepted surgical approach for the treatment of esophageal cancer, as it is an oncologically sound procedure; its advantages when compared to open procedures, including reduction in postoperative complications, reduction in the length of hospital stay, and improvement in quality of life, are well documented. However, debates are still ongoing about the safety and efficacy of MIE. The present review focuses on some of the current issues related to conventional MIE and robot-assisted MIE based on evidence from the current literature.

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Section: Lymph Node Dissection In Minimally Invasive Esophagectomymentioning

confidence: 99%

Section: Lymph Node Dissection In Minimally Invasive Esophagectomymentioning

confidence: 99%

Current Issues in Minimally Invasive Esophagectomy

Kang

2020

Korean J Thorac Cardiovasc Surg

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“…Although most early studies have found that the lymph node yield with RAMIE and MIE are similar [39][40][41] , in two recent series in which RAMIE and MIE were applied to upper mediastinal LND, markedly larger numbers of lymph nodes were harvested with RAMIE (median 37-49 vs. 19-21) [42,43] . In addition, when Motoyama et al [44] compared the number of lymph nodes dissected from around the left RLN, they found that significantly more lymph nodes were dissected with RAMIE than MIE (median 6 vs. 4). This indicates that a robot-assisted surgical system may enable more extensive dissection of lymph nodes around the left RLN.…”

Section: Lymph Node Dissection In Ramiementioning

confidence: 99%

Trends in the evolution to robot-assisted minimally invasive thoracoscopic esophagectomy

Li¹,

Motoyama²,

Sato³

et al. 2020

Mini-invasive Surg

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Much effort has been made to improve outcomes and/or minimize the invasiveness of esophagectomy for thoracic esophageal cancer. This has led to the evolution from open esophagectomy to thoracoscopic minimally invasive esophagectomy (MIE), and from MIE to robot-assisted minimally invasive esophagectomy (RAMIE). RAMIE is being applied clinically to overcome the limitations of MIE. In this article, we review the trends in the evolution from thoracoscopic MIE to RAMIE. It has now been demonstrated that RAMIE is both safe and feasible, and may decrease morbidity and mortality rates associated with esophagectomy and improve oncological outcomes. On the other hand, there are still many problems that need to be solved.

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“…At our center, a robotic surgical system was installed in 2016 and has been used for esophagectomy and radical lymph node dissection for ESCC. Some recent studies have compared robotic-assisted MIEs with videoassisted MIEs [13,14] and open procedures [15,16] and found that robotic-assisted esophagectomy could be a better surgical option for selected patients with ESCC in better mediastinal lymphadenectomy and recurrent laryngeal nerve protection [17,18]. There has been more and more evidence for the benefit of induction therapy for advanced ESCC [19].…”

Section: Introductionmentioning

confidence: 99%

Influence of Induction Therapy on Robot-Assisted McKeown Esophagectomy for Esophageal Squamous Cell Carcinoma

et al. 2020

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Background: The present study was to investigate the influence of induction therapy on robot-assisted McKeown esophagectomy (RAME) with radical superior mediastinal lymph node dissection for esophageal squamous cell carcinoma in a high-volume cancer center. Methods: A consecutive patient cohort who underwent RAME from January 2017 to May 2019 were reviewed. The perioperative outcomes of patients with induction therapy were compared with those who had surgery alone. Results: In total, 118 patients underwent RAME during the study period. The average age was 59.1 ± 7.5 years, including 100 male and 18 female patients. Thirty patients (25.4%) had induction therapy, and 88 patients did not receive induction therapy. The average age of the patients treated with induction therapy was younger than those received surgery alone (56.8 ± 6.1 vs. 59.5 ± 7.6 years, p = 0.039). There were no statistically significant differences in the mean operative time and estimated blood loss between both groups. Complications occurred in 46 (39.0%) patients. There were no statistically significant differences in the rates of any complications between both groups (p = 0.951). There were no deaths in either group. The hospital stay was prolonged in patients with induction therapy than those in the surgery-alone group (20.8 ± 8.9 vs. 16.8 ± 6.0, p = 0.048). There was no statistically significant difference in the average number of dissected lymph nodes in total and both recurrent laryngeal nerve stations between both groups. Conclusion: For patients with esophageal squamous cell carcinoma, induction therapy has no influence on RAME with radical superior mediastinal lymph node dissection.

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Extensive Lymph Node Dissection Around the Left Laryngeal Nerve Achieved With Robot-assisted Thoracoscopic Esophagectomy

Cited by 29 publications

References 12 publications

Current Issues in Minimally Invasive Esophagectomy

Current Issues in Minimally Invasive Esophagectomy

Trends in the evolution to robot-assisted minimally invasive thoracoscopic esophagectomy

Influence of Induction Therapy on Robot-Assisted McKeown Esophagectomy for Esophageal Squamous Cell Carcinoma

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