Robot‐assisted laparoscopic management of cardia carcinoma according to Siewert recommendations

Abstract

Robot-assisted laparoscopic radical surgery of the oesophago-gastric junction is feasible and safe. Longer follow-up time and randomized studies are needed to evaluate the long-term outcome and advantages for the patient of this new technology.

Robot assistance in liver surgery: a real advantage over a fully laparoscopic approach? Results of a comparative bi‐institutional analysis

“…Furthermore, laparoscopic liver surgery is still restricted to tertiary centres with experience in both hepatic and laparoscopic surgery. Conversely, robot‐assisted surgery has been shown to be feasible even for surgeons without extensive experience in laparoscopic surgery and to facilitate procedures considered demanding with a traditional laparoscopic approach, such as radical prostatectomy, gastric surgery and low anterior rectal resection . Whether this facilitation could also be extended to liver surgery is still a matter of debate.…”

“…In the last 5 years the number of laparoscopic complex liver resections has increased and even major hepatectomies and segmentectomies of the postero‐superior (P–S) segments have been successfully performed . Recently robotics has been introduced in general surgery, with the aim of overcoming some of the limitations of traditional laparoscopy, providing greater manoeuvrability with a set of articulated instruments and a three‐dimensional (3D) view . The first application of robotics in liver surgery dates back to 2003 (in Italy), whereas the first series of left lateral sectionectomy dates back to 2008 (in South Korea) .…”

Robot-assisted laparoscopic (RAL) surgery for gastric cancer

“…Various RAL gastrectomy series and their comparative results are summarized in Table 1 (14,(25)(26)(27)(28)(29)(30)(31). It should be borne in mind that in most of the articles reviewed, the robotic-assisted operations were performed by highly experienced surgeons, and the outcomes could have been altered with different surgical teams possessing variable levels of experience.…”

Laparoscopic Transhiatal Resection for Siewert Type II Adenocarcinoma of the Esophagogastric Junction

“…In contrast, reports of LTH resection for AEG with esophagojejunal anastomosis are lacking, probably due to the difficulties associated with anastomotic techniques. Only Patriti et al 19 has reported the preliminary outcomes of robot-assisted LTH resection in 17 patients with cardia cancer, including 3 cases of AEG type II.…”