Technical points analysis of robot-assisted minimally invasive esophagectomy

doi:10.3877/cma.j.issn.2095-8773.2019.01.11

Abstract

Abstract:

In recent years, with the development of Da Vinci robotic technology on the surgical treatment of esophageal cancer, the advantages of this technology were accepted by more and more esophageal surgeons, and its safety and efficacy are gradually recognized. Robot technology can be combined with traditional thoracoscopic or laparoscopic surgery and open surgery to complete the operation of different surgical approach. The advantages of robot technology can also be fully utilized to reduce the difficulty of surgery, especially on upper mediastinal space which are difficult to perform quickly and safely under traditional techniques. The aim of this article was to summarize the reports on the experience of robot-assisted minimally invasive esophagectomy(RAMIE), and to analyze the characteristics of different treatments of esophageal cancer in each center on surgical path and robot-assisted mode.

Key words: Esophageal cancer, Robot-assisted minimally invasive esophagectomy, Surgical approach, Technical points

Bin Li, Xufeng Guo, Xiaobing Zhang, Yang Yang, Teng Mao, Yifeng Sun, Zhigang Li. Technical points analysis of robot-assisted minimally invasive esophagectomy[J]. Chinese Journal of Thoracic Surgery(Electronic Edition), 2019, 06(01): 46-55.

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References 73

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作者	时间(年)	n	手术路径	总淋巴结(个)	手术时间(min)	术中出血量(ml)	住院时间(d)	肺部并发症(%)	吻合口瘘(%)	喉返神经麻痹(%)
Galvani等^[8]	2008	18	TH	14	267	54	10	11	33	5
Coker等^[9]	2014	23	TH	15	231	100	9	13	9	NA
Mori等^[10]	2016	22	TH	30	524	385	18	0	18	4.5
Dunn等^[11]	2017	100	TH	17	264	75	8	11	16	33
Hodari等^[12]	2015	54	Ivor Lewis	16.2	362	74.4	12.9	11.1	6.8	NA
Wee，等^[13]	2016	20	Ivor Lewis	23.2	455.5	275	8	5	0	NA
Cerfolio等^[14]	2016	85	Ivor Lewis	22	360	35	11	7.1	4.3	NA
Meredith等^[15]	2018	147	Ivor Lewis	20.4	415	150	9	10.9	2.7	NA
Zhang等^[16]	2018	61	Ivor Lewis	19.3	315.6	189.3	10	6.6	9.8	8.2
Wang等^[17]	2018	31	Ivor Lewis	17.1	387.4	110	12	6.5	6.5	NA
Sarkaria等^[18]	2013	21	Mc 4例/ IL 7例	20	556	307	10	23.8	38	NA
Park等^[19]	2016	62	Mc 56例/ IL 6例	37.3	490.3	462.9	NA	14.5	8.1	12.9
Okusanya等^[20]	2017	25	Mc 2例/IL 23例	26	661	250	8	20	4	NA
Guerra等^[21]	2018	38	Mc 14例/IL 24例	33	550	80	10	8	16	2.6
Kernstine等^[22]	2007	14	Mckeown	18	NA	NA	NA	NA	14	NA
Boone等^[23]	2009	47	Mckeown	29	450	625	18	44.7	21.3	19.1
Weksler等^[24]	2012	11	Mckeown	23	439	200	8.7	18.2	9.1	?
van等^[25]	2015	108	Mckeown	26	381	340	16	33	19	9
Puntambekar等^[26]	2015	83	Mckeown	18.4	204.9	86.6	10.4	1.2	3.6	2.4
易俊等^[27]	2015	79	Mckeown	20.6	245	75	10.2	6.3	7.6	2.5
Park等^[28]	2016	114	Mckeown	43.5	419.6	208.7	16	9.6	14.9	26.3
谭子辉等^[29]	2016	17	Mckeown	28	195	60	15.2	17.6	0	11.8
Chiu等^[30]	2017	20	Mckeown	18.2	499.5	355.7	13	5	15	25
Somashekhar等^[31]	2017	35	Mckeown	32	352	380	8	2.9	0	2.9
Chao等^[32]	2018	37	Mckeown	37	NA	94.1	17.5	8.1	2.7	21.6
He等^[33]	2018	27	Mckeown	20	349	118	13.8	18.5	11.1	14.8
Deng等^[34]	2018	79	Mckeown	20.6	356.7	103.9	14.4	7.6	7.6	10.1
Zhang等^[35]	2018	249	Mckeown	18.5	250.6	215.5	11	18.1	12.9	15.3

作者	时间(年)	n	手术路径	总淋巴结(个)	手术时间(min)	术中出血量(ml)	住院时间(d)	肺部并发症(%)	吻合口瘘(%)	喉返神经麻痹(%)
Galvani等^[8]	2008	18	TH	14	267	54	10	11	33	5
Coker等^[9]	2014	23	TH	15	231	100	9	13	9	NA
Mori等^[10]	2016	22	TH	30	524	385	18	0	18	4.5
Dunn等^[11]	2017	100	TH	17	264	75	8	11	16	33
Hodari等^[12]	2015	54	Ivor Lewis	16.2	362	74.4	12.9	11.1	6.8	NA
Wee，等^[13]	2016	20	Ivor Lewis	23.2	455.5	275	8	5	0	NA
Cerfolio等^[14]	2016	85	Ivor Lewis	22	360	35	11	7.1	4.3	NA
Meredith等^[15]	2018	147	Ivor Lewis	20.4	415	150	9	10.9	2.7	NA
Zhang等^[16]	2018	61	Ivor Lewis	19.3	315.6	189.3	10	6.6	9.8	8.2
Wang等^[17]	2018	31	Ivor Lewis	17.1	387.4	110	12	6.5	6.5	NA
Sarkaria等^[18]	2013	21	Mc 4例/ IL 7例	20	556	307	10	23.8	38	NA
Park等^[19]	2016	62	Mc 56例/ IL 6例	37.3	490.3	462.9	NA	14.5	8.1	12.9
Okusanya等^[20]	2017	25	Mc 2例/IL 23例	26	661	250	8	20	4	NA
Guerra等^[21]	2018	38	Mc 14例/IL 24例	33	550	80	10	8	16	2.6
Kernstine等^[22]	2007	14	Mckeown	18	NA	NA	NA	NA	14	NA
Boone等^[23]	2009	47	Mckeown	29	450	625	18	44.7	21.3	19.1
Weksler等^[24]	2012	11	Mckeown	23	439	200	8.7	18.2	9.1	?
van等^[25]	2015	108	Mckeown	26	381	340	16	33	19	9
Puntambekar等^[26]	2015	83	Mckeown	18.4	204.9	86.6	10.4	1.2	3.6	2.4
易俊等^[27]	2015	79	Mckeown	20.6	245	75	10.2	6.3	7.6	2.5
Park等^[28]	2016	114	Mckeown	43.5	419.6	208.7	16	9.6	14.9	26.3
谭子辉等^[29]	2016	17	Mckeown	28	195	60	15.2	17.6	0	11.8
Chiu等^[30]	2017	20	Mckeown	18.2	499.5	355.7	13	5	15	25
Somashekhar等^[31]	2017	35	Mckeown	32	352	380	8	2.9	0	2.9
Chao等^[32]	2018	37	Mckeown	37	NA	94.1	17.5	8.1	2.7	21.6
He等^[33]	2018	27	Mckeown	20	349	118	13.8	18.5	11.1	14.8
Deng等^[34]	2018	79	Mckeown	20.6	356.7	103.9	14.4	7.6	7.6	10.1
Zhang等^[35]	2018	249	Mckeown	18.5	250.6	215.5	11	18.1	12.9	15.3

作者	时间	手术路径	机器人技术	机械臂数量
Galvani等^[8]	2008	TH	HRTH	三臂
Coker等^[9]	2014	TH	HRTH	三臂
Mori等^[10]	2016	TH	HRTH	三臂
Dunn等^[11]	2017	TH	HRTH	三臂
Hodari等^[12]	2015	Ivor Lewis	HRIL	四臂
Wee，等^[13]	2016	Ivor Lewis	HRIL	四臂
Cerfolio等^[14]	2016	Ivor Lewis	HRIL	四臂
Meredith等^[15]	2018	Ivor Lewis	TRIL	四臂
Zhang等^[16]	2018	Ivor Lewis	TRIL	四臂
Wang等^[17]	2018	Ivor Lewis	HRIL	四臂
Sarkaria等^[18]	2013	Mck / IL	TRAE	四臂
Park等^[19]	2016	Mck / IL	TRAE	四臂
Okusanya等^[20]	2017	Mck / IL	TRAE	四臂
Guerra等^[21]	2018	Mck / IL	TRAE	四臂
Kernstine等^[22]	2007	Mckeown	HRMc/TRMc	三臂
Boone等^[23]	2009	Mckeown	HRMc	三臂
Weksler等^[24]	2012	Mckeown	HRMc	四臂
van der sluis PC等^[25]	2015	Mckeown	HRMc/TRMc	三臂
Puntambekar等^[26]	2015	Mckeown	HRMc	三臂
易俊等^[27]	2015	Mckeown	TRMc	三臂
Park等^[28]	2016	Mckeown	HRMc	三臂
谭子辉等^[29]	2016	Mckeown	TRMc	三臂
Chiu等^[30]	2017	Mckeown	TRMc	三臂
Somashekhar等^[31]	2017	Mckeown	TRMc	三臂
Chao等^[32]	2018	Mckeown	HRMc	四臂
He等^[33]	2018	Mckeown	TRMc	三臂
Deng等^[34]	2018	Mckeown	TRMc	三臂
Zhang等^[35]	2018	Mckeown	HRMc/TRMc	三臂

作者	时间	手术路径	机器人技术	机械臂数量
Galvani等^[8]	2008	TH	HRTH	三臂
Coker等^[9]	2014	TH	HRTH	三臂
Mori等^[10]	2016	TH	HRTH	三臂
Dunn等^[11]	2017	TH	HRTH	三臂
Hodari等^[12]	2015	Ivor Lewis	HRIL	四臂
Wee，等^[13]	2016	Ivor Lewis	HRIL	四臂
Cerfolio等^[14]	2016	Ivor Lewis	HRIL	四臂
Meredith等^[15]	2018	Ivor Lewis	TRIL	四臂
Zhang等^[16]	2018	Ivor Lewis	TRIL	四臂
Wang等^[17]	2018	Ivor Lewis	HRIL	四臂
Sarkaria等^[18]	2013	Mck / IL	TRAE	四臂
Park等^[19]	2016	Mck / IL	TRAE	四臂
Okusanya等^[20]	2017	Mck / IL	TRAE	四臂
Guerra等^[21]	2018	Mck / IL	TRAE	四臂
Kernstine等^[22]	2007	Mckeown	HRMc/TRMc	三臂
Boone等^[23]	2009	Mckeown	HRMc	三臂
Weksler等^[24]	2012	Mckeown	HRMc	四臂
van der sluis PC等^[25]	2015	Mckeown	HRMc/TRMc	三臂
Puntambekar等^[26]	2015	Mckeown	HRMc	三臂
易俊等^[27]	2015	Mckeown	TRMc	三臂
Park等^[28]	2016	Mckeown	HRMc	三臂
谭子辉等^[29]	2016	Mckeown	TRMc	三臂
Chiu等^[30]	2017	Mckeown	TRMc	三臂
Somashekhar等^[31]	2017	Mckeown	TRMc	三臂
Chao等^[32]	2018	Mckeown	HRMc	四臂
He等^[33]	2018	Mckeown	TRMc	三臂
Deng等^[34]	2018	Mckeown	TRMc	三臂
Zhang等^[35]	2018	Mckeown	HRMc/TRMc	三臂

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