Robot-Assisted Ivor Lewis Esophagectomy

2021 ◽  
pp. 19-42
Author(s):  
David C. Rice
Keyword(s):  
Robot Assisted ◽  
Ivor Lewis ◽  
Ivor Lewis Esophagectomy

Modified Intrathoracic Esophagogastrostomy with Minimally Invasive Robot-Assisted Ivor-Lewis Esophagectomy for Cancer

2018 ◽  
Vol 36 (3) ◽  
pp. 218-225 ◽  
Author(s):  
Wen-Ping Wang ◽  
Long-Qi Chen ◽  
Han-Lu Zhang ◽  
Yu-Shang Yang ◽  
Song-Lin He ◽  
...  
Keyword(s):  
Minimally Invasive ◽  
Circular Stapler ◽  
Purse String Suture ◽  
Robot Assisted ◽  
Purse String ◽  
Ivor Lewis ◽  
Intrathoracic Anastomosis ◽  
Ivor Lewis Esophagectomy ◽  
Estimated Blood Loss ◽  
Esophagectomy For Cancer

Background: Intrathoracic esophagogastrostomy plays an important role in minimally invasive Ivor-Lewis esophagectomy for cancer. Intrathoracic anastomosis with robot-assisted Ivor-Lewis esophagectomy (RAILE) includes hand-sewn and circular stapler methods, which remain technically challenging. In this study, we modified the techniques for intrathoracic anastomosis at RAILE, in order to simplify the complex procedures. Methods: “Side-insertion” technique was used for anvil placement and purse string suture for intrathoracic anastomosis at RAILE. Medical records for consecutive patients who had undergone robot-assisted minimally invasive Ivor-Lewis esophagectomy for cancer between January 2015 and June 2018 were analyzed. Results: A total of consecutive 31 patients were enrolled. There was no conversion to open thoracotomy in this cohort. Mean operation duration in the robotic group was 387.4 ± 68.2 min. Median estimated blood loss was 110 mL (range 50–400 mL). Two patients (6.5%) had postoperative anastomotic leak. No postoperative reoperation was needed and there were no mortality. Six patients (19.4%) had anastomotic stricture and 2 patients of them needed endoscopic dilation. Conclusion: RAILE is safe and feasible. Our modified procedure highlighting the “side-insertion” method may simplify the process of intrathoracic anvil placement and purse string suture for anastomosis at RAILE.

Early Outcomes of Robot-Assisted Versus Thoracoscopic-Assisted Ivor Lewis Esophagectomy for Esophageal Cancer: A Propensity Score-Matched Study

2019 ◽  
Vol 26 (5) ◽  
pp. 1284-1291 ◽  
Author(s):  
Yajie Zhang ◽  
Yu Han ◽  
Qinyi Gan ◽  
Jie Xiang ◽  
Runsen Jin ◽  
...  
Keyword(s):  
Esophageal Cancer ◽  
Propensity Score ◽  
Robot Assisted ◽  
Ivor Lewis ◽  
Ivor Lewis Esophagectomy ◽  
Matched Study

scholarly journals Recurrent laryngeal nerve monitoring during totally robot-assisted Ivor Lewis esophagectomy

2020 ◽  
Vol 405 (8) ◽  
pp. 1091-1099
Author(s):  
J. I. Staubitz ◽  
P. C. van der Sluis ◽  
F. Berlth ◽  
F. Watzka ◽  
F. Dette ◽  
...  
Keyword(s):  
Lymph Node ◽  
Recurrent Laryngeal Nerve ◽  
Laryngeal Nerve ◽  
Node Dissection ◽  
Robot Assisted ◽  
Nerve Monitoring ◽  
Ivor Lewis ◽  
Ivor Lewis Esophagectomy ◽  
Vocal Cord Paresis ◽  
The Right

Abstract Purpose The robot-assisted approach for Ivor Lewis esophagectomy offers an enlarged, three-dimensional overview of the intraoperative situs. The vagal nerve (VN) can easily be detected, preserved, and intentionally resected below the separation point of the recurrent laryngeal nerve (RLN). However, postoperative vocal cord paresis can result from vagal or RLN injury during radical lymph node dissection, presenting a challenge to the operating surgeon. Methods From May to August 2019, 10 cases of robot-assisted minimally invasive esophagectomy (RAMIE) with extended 2-field lymphadenectomy, performed at the University Medical Center Mainz, were included in a prospective cohort study. Bilateral intermittent intraoperative nerve monitoring (IONM) of the RLN and VN was performed, including pre- and postoperative laryngoscopy assessment. Results Reliable mean signals of the right VN (2.57 mV/4.50 ms) and the RLN (left 1.24 mV/3.71 ms, right 0.85 mV/3.56 ms) were obtained. IONM facilitated the identification of the exact height of separation of the right RLN from the VN. There were no cases of permanent postoperative vocal paresis. Median lymph node count from the paratracheal stations was 5 lymph nodes. Conclusion IONM was feasible during RAMIE. The intraoperative identification of the RLN location contributed to the accuracy of lymph node dissection of the paratracheal lymph node stations. RLN damage and subsequent postoperative vocal cord paresis can potentially be prevented by IONM.

scholarly journals Intrathoracic side‐to‐side esophagogastrostomy with a linear stapler and barbed suture in robot‐assisted Ivor Lewis esophagectomy

2019 ◽  
Vol 120 (7) ◽  
pp. 1142-1147
Author(s):  
Fuqiang Wang ◽  
Hanlu Zhang ◽  
Yu Zheng ◽  
Zihao Wang ◽  
Yingcai Geng ◽  
...  
Keyword(s):  
Barbed Suture ◽  
Linear Stapler ◽  
Robot Assisted ◽  
Ivor Lewis ◽  
Ivor Lewis Esophagectomy

ROBOT-ASSISTED IVOR LEWIS ESOPHAGECTOMY FOR ESOPHAGEAL CANCER

CHEST Journal ◽  
2007 ◽  
Vol 132 (4) ◽  
pp. 659C
Author(s):  
Farid Gharagozloo ◽  
Marc Margolis ◽  
Barbara J. Tempesta ◽  
Arnold Schwartz ◽  
Eric Strother
Keyword(s):  
Esophageal Cancer ◽  
Robot Assisted ◽  
Ivor Lewis ◽  
Ivor Lewis Esophagectomy

Robot-Assisted Minimally Invasive Ivor Lewis Esophagectomy With Real-Time Perfusion Assessment

2015 ◽  
Vol 100 (3) ◽  
pp. 947-952 ◽  
Author(s):  
Arielle Hodari ◽  
Ko Un Park ◽  
Brian Lace ◽  
Athanasios Tsiouris ◽  
Zane Hammoud
Keyword(s):  
Minimally Invasive ◽  
Real Time ◽  
Robot Assisted ◽  
Ivor Lewis ◽  
Ivor Lewis Esophagectomy ◽  
Perfusion Assessment

Initial experience of robot-assisted Ivor–Lewis esophagectomy: 61 consecutive cases from a single Chinese institution

2018 ◽  
Vol 31 (12) ◽  
Author(s):  
Y Zhang ◽  
J Xiang ◽  
Y Han ◽  
M Huang ◽  
J Hang ◽  
...  
Keyword(s):  
Initial Experience ◽  
Robot Assisted ◽  
Ivor Lewis ◽  
Ivor Lewis Esophagectomy
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