Application of robot-assisted minimally invasive Ivor Lewis esophagectomy for esophageal cancer
10.7507/1007-4848.201804080
- VernacularTitle:机器人微创 Ivor Lewis 食管癌根治术的应用
- Author:
Yajie ZHANG
1
;
Yu HAN
1
;
Jie XIANG
1
;
Hecheng LI
1
Author Information
1. Department of Thoracic Surgery, Ruijin Hospital, Shanghai Jiaotong University School of Medicine, Shanghai, 200025, P.R.China
- Publication Type:Journal Article
- Keywords:
Robotic surgery;
Ivor Lewis;
esophageal cancer;
esophagogastric anastomosis
- From:
Chinese Journal of Clinical Thoracic and Cardiovascular Surgery
2018;25(9):735-741
- CountryChina
- Language:Chinese
-
Abstract:
Objective To evaluate the effects of robot-assisted Ivor Lewis esophagectomy (RAILE) in surgical treatment of esophageal cancer. Methods We retrospectively analyzed the clinical data of 70 patients diagnosed with mid-lower esophageal cancer undergoing RAILE in the Department of Thoracic Surgery in Ruijin Hospital Affiliated to Shanghai Jiaotong University between May 2015 and April 2018. There were 54 males and 16 females at average age of 62.0±7.6 years. Forty patients underwent circular end-to-end stapled intrathoracic anastomosis and 30 had a doublelayered, completely hand-sewn intrathoracic anastomosis. Results The mean operating time was 308.7±60.6 minutes. And blood loss was 190.0±95.1 ml. There were 2 patients who underwent conversion to thoracotomy. There was no inhospital and 30-day mortality. Overall complications were observed in 24 patients (34.3%), of whom 6 patients (8.6%) had anastomotic leakage. The median length of hospitalization was 9.0 (interquartile range, IQR, 5.0) days. The mean tumor size was 3.2±1.5 cm, and R0 resection was achieved in all patients. The mean number of totally dissected lymph nodes was 19.3±8.7. Conclusion RAILE is safe and technically feasible with satisfactory perioperative outcomes.
