Short-term outcomes of robot-assisted esophagectomy
10.3760/cma.j.issn.1008-1372.2017.07.003
- VernacularTitle:机器人辅助食管癌根治术的近期手术结果
- Author:
Xiaobin ZHANG
;
Yu YANG
;
Bo YE
;
Yifeng SUN
;
Xufeng GUO
;
Haiyong GU
;
Rong HUA
;
Teng MAO
;
Zhigang LI
- Keywords:
Robotics;
Esophageal neoplasms/SU
- From:
Journal of Chinese Physician
2017;19(7):970-973
- CountryChina
- Language:Chinese
-
Abstract:
Objective To investigate our early results of robot-assisted esophagectomy (RAE) and present our learning curve experience with the largest study from one-single institution of China.Methods Between November 2015 and April 2017,a series of consecutive patients undergoing RAE at Shanghai Chest Hospital were reviewed.The patients'demographics,operative and postoperative outcomes were demonstrated.Results A total of 154 patients underwent RAE during the study.All patients received Mckeown esophagectomy and extensive thoraco-abdominal two-field lymph node dissection.Of these,122 were male and 32 were female.The mean total operative duration was 179-445 (271.0 ±61.5) min and the operative duration of the thoracic phase was 51-142 (96.7 ± 27.0)min.The mean estimated blood loss was 100 -1 000 (230.4 ±74.4)ml.The pathological results showed that 150 had squamous cell carcinoma,2 had adenocarcinoma,and 2 had small cell carcinoma.The R0 resection was 92.2%.The mean number of lymph node dissection was 11-64 (20.4 ± 8.5) and the lymph node sampling rate along left and right recurrent laryngeal nerve (RLN) were 92.2% and 88.3%.The morbidity was present in 64 of 154 patients (41.6%).The major complications rate was anastomotic leak (12.3%),and vocal cord paralysis (16.9%).Intensive care unit (ICU) hospital stay time was 0-27 (2.7 ± 3.6) d,the median length of hospital stay was 7-81 (15.8 ± 11.6)days.There was no 90-day mortality.Conclusions RAE is a safe and feasible alternative for treatment of esophageal cancer.RAE can improve the efficacy of lymph node dissection,especially for the lymphadenectomy along recurrent laryngeal nerve.