Robotic thoracic esophagectomy with radical lymphadenectomy: A preliminary study
Afag Aghayeva1, Ismail Ahmet Bilgin1, Ebru Kırbıyık1, Ahmet Demirkaya2, Erman Aytaç1, Ismail Hamzaoğlu1, Tayfun Karahasanoğlu1, Bilgi Baca11Department of General Surgery, Acibadem Mehmet Ali Aydinlar University Faculty of Medicine, İstanbul, Turkey2Department of Thoracic Surgery, Acibadem Mehmet Ali Aydinlar University Faculty of Medicine, İstanbul, Turkey
INTRODUCTION: Esophagectomy with the maximal number of harvested lymph nodes remains the mainstay for esophagus cancer (EC) treatment. The present study aims to evaluate the short and long-term outcomes of patients with EC who underwent robotic esophagectomy (RE) with thoracic radical lymphadenectomy.
METHODS: Between April 2015 and April 2018, consecutive patients who underwent RE were retrieved from a prospectively maintained registry. Patient demographics, operative variables and postoperative outcomes were assessed.
RESULTS: In this study, there were 22 (10 females) patients (mean age was 60.3±8.9 years). The mean operative time and estimated blood loss was 456±71.85 minutes and 213±157 mL, respectively. The mean number of harvested lymph nodes was 24.5±9.96. The overall 30-day complication rate was 36% (n=8). OS was calculated as 87% during 25.6 (range, 12-51) months of mean follow-up time.
DISCUSSION AND CONCLUSION: According to our limited number of patients, robotic technology was safe and feasible in esophageal cancer surgery. Comparative studies with the robotic approach are needed.
Manuscript Language: English