Robot-assisted bilateral transcervical esophagectomy: a preliminary exploration

doi:10.3877/cma.j.issn.2095-8773.2025.04.05

Abstract

Abstract:

Objective

To summarize the perioperative outcomes of robot-assisted bilateral transcervical mediastinoscopic and laparoscopic esophagectomy (RBMLE) for esophageal cancer.

Methods

The clinical data of 5 patients with esophageal cancer who intentionally underwent RBMLE at Shanghai Chest Hospital from August 2025 to September 2025 were retrospectively analyzed. The cohort included 3 males and 2 females, with a median age of 66 years. Two and three patients were diagnosed with clinical stage Ⅱ and Ⅲ disease, respectively. Three patients received neoadjuvant immunochemotherapy. The perioperative outcomes were analyzed.

Results

All patients achieved R0 resection. The operative time was 330 (200–420) min, and the blood loss was 100 (100–200) mL. The number of mediastinal lymph node stations dissected was 6 (6–7), and the count of mediastinal lymph nodes harvested was 6 (4–10). The total count of lymph nodes dissected was 18 (6–26). One patient (20.0%) developed an anastomotic leak [ (Esophagectomy Complications Consensus Group, ECCG) grade Ⅱ]; and one patient (20.0%) experienced vocal cord paralysis (ECCG grade Ⅰ). The hospital stay was 8 (7–21) days and no readmissions occurred within 30 days postoperatively.

Conclusions

RBMLE is safe and feasible, and is considered as one of the surgical options for selected patients with esophageal cancer.

Key words: Esophageal cancer, Robot-assisted, Mediastinoscopy, Complication

Xinyu Yang, Bin Li, Rong Hua, Yi He, Zhigang Li. Robot-assisted bilateral transcervical esophagectomy: a preliminary exploration[J]. Chinese Journal of Thoracic Surgery(Electronic Edition), 2025, 12(04): 222-227.

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URL: https://zhxbwkdzzz.cma-cmc.com.cn/EN/10.3877/cma.j.issn.2095-8773.2025.04.05

https://zhxbwkdzzz.cma-cmc.com.cn/EN/Y2025/V12/I04/222

Figures/Tables 4

References 20

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参数	数值（n=5）
人口学特征
年龄（岁）	66（52~75）
性别
女	2（40.0）
男	3（60.0）
体重指数（kg/m²）	22.5（21.3~25.6）
吸烟史	2（40.0）
ECOG评分	0（0~1）
肿瘤学特征
病理（鳞癌）	5（100.0）
位置
胸上段	2（40.0）
胸中段	2（40.0）
胸下段	1（20.0）
临床T分期
2	2（40.0）
3	3（60.0）
临床N分期
0	2（40.0）
1	3（60.0）
临床TNM分期
Ⅱ	2（40.0）
Ⅲ	3（60.0）
接受新辅助治疗	3（60.0）
免疫联合化疗	3（60.0）
其他	0

参数	数值（n=5）
人口学特征
年龄（岁）	66（52~75）
性别
女	2（40.0）
男	3（60.0）
体重指数（kg/m²）	22.5（21.3~25.6）
吸烟史	2（40.0）
ECOG评分	0（0~1）
肿瘤学特征
病理（鳞癌）	5（100.0）
位置
胸上段	2（40.0）
胸中段	2（40.0）
胸下段	1（20.0）
临床T分期
2	2（40.0）
3	3（60.0）
临床N分期
0	2（40.0）
1	3（60.0）
临床TNM分期
Ⅱ	2（40.0）
Ⅲ	3（60.0）
接受新辅助治疗	3（60.0）
免疫联合化疗	3（60.0）
其他	0

参数	数值（n=5）
术中结果
R0切除率	5（100.0）
术中出血量（mL）	100（100~200）
手术时间（min）	330（200~420）
纵隔淋巴结清扫站数	6（6~7）
纵隔淋巴结清扫数量	6（4~10）
淋巴结清扫总数	18（10~26）
术后并发症
吻合口瘘
ECCG Ⅰ型	0
ECCG Ⅱ型	1（20.0）
ECCG Ⅲ型	0
声带麻痹
ECCG Ⅰ型	1（20.0）
ECCG Ⅱ型	0
ECCG Ⅲ型	0
乳糜胸	0
呼吸系统	0
心血管系统	0
其他	0
术后住院时间（天）	8（7~21）
30天再入院率	0
30天死亡率	0

参数	数值（n=5）
术中结果
R0切除率	5（100.0）
术中出血量（mL）	100（100~200）
手术时间（min）	330（200~420）
纵隔淋巴结清扫站数	6（6~7）
纵隔淋巴结清扫数量	6（4~10）
淋巴结清扫总数	18（10~26）
术后并发症
吻合口瘘
ECCG Ⅰ型	0
ECCG Ⅱ型	1（20.0）
ECCG Ⅲ型	0
声带麻痹
ECCG Ⅰ型	1（20.0）
ECCG Ⅱ型	0
ECCG Ⅲ型	0
乳糜胸	0
呼吸系统	0
心血管系统	0
其他	0
术后住院时间（天）	8（7~21）
30天再入院率	0
30天死亡率	0

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