Outcomes of Robot-Assisted Minimally Invasive Esophagectomy
Author Information
Author(s): Kooij Cezanne D. MD, de Jongh Cas MD, Kingma B. Feike MD, PhD, van Berge Henegouwen Mark I. MD, PhD, Gisbertz Suzanne S. MD, PhD, Chao Yin-Kai MD, PhD, Chiu Philip W. MD, PhD, Rouanet Philippe MD, PhD, Mourregot Anne MD, Immanuel Arul MD, PhD, Mala Tom MD, PhD, van Boxel Gijs I. MD, PhD, Carter Nicholas C. MD, Li Hecheng MD, PhD, Fuchs Hans F. MD, PhD, Bruns Christiane J. MD, PhD, Giacopuzzi Simone MD, PhD, Kalff Jörg C. MD, PhD, Hölzen Jens-Peter MD, PhD, Juratli Mazen A. MD, PhD, Benedix Frank MD, PhD, Lorenz Eric MD, Egberts Jan-Hendrik MD, PhD, Haveman Jan W. MD, PhD, van Etten Boudewijn MD, PhD, Müller Beat P. MD, PhD, Grimminger Peter P. MD, PhD, Berlth Felix MD, Piessen Guillaume MD, van den Berg Jan W. MD, PhD, Milone Marco MD, PhD, Luketich James D. MD, Sarkaria Inderpal S. MD, Sallum Rubens A. A. MD, PhD, van Det Marc J. MD, PhD, Kouwenhoven Ewout A. MD, PhD, Brüwer Matthias MD, PhD, Harustiak Tomas MD, PhD, Kinoshita Takahiro MD, PhD, Fujita Takeo MD, PhD, Daiko Hiroyuki MD, PhD, Li Zhigang MD, PhD, Ruurda Jelle P. MD, PhD, van Hillegersberg Richard MD, PhD
Primary Institution: University Medical Center Utrecht, University Utrecht, Utrecht, The Netherlands
Hypothesis
This study aims to assess the current state of RAMIE worldwide and to identify potential areas for improvement.
Conclusion
The study demonstrates favorable outcomes over time in achieving textbook outcomes after RAMIE, with areas for improvement identified.
Supporting Evidence
- Over 3640 RAMIE cases were registered in the UGIRA Esophageal Registry.
- Textbook outcome rates improved over time for both Ivor–Lewis and McKeown procedures.
- Anastomotic leakage rates decreased over time for both surgical techniques.
- Median lymph node yield was consistently high across time cohorts.
Takeaway
Doctors are using robots to help with esophagus surgery, and they're getting better at it over time, but they still need to work on reducing complications.
Methodology
This descriptive study analyzed prospective data from esophageal cancer patients who underwent transthoracic RAMIE in UGIRA centers, focusing on outcomes over three time cohorts.
Potential Biases
Center bias may have influenced results, particularly in the initial groups of the study.
Limitations
The study is descriptive and includes a heterogeneous cohort, which limits definitive conclusions; potential learning curve effects and center bias may also influence results.
Participant Demographics
Median age was 66 years, with 82% male in the Ivor–Lewis group and 80% male in the McKeown group; most had an ASA score of ≥2.
Digital Object Identifier (DOI)
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