Published in:
01-02-2021 | Esophagus Resection | ASO Author Reflections
ASO Author Reflections: Clinical Benefit of Robot-Assisted Minimally Invasive Esophagectomy over Conventional Minimally Invasive Esophagectomy
Authors:
Shigeru Tsunoda, MD, PhD, FACS, Kazutaka Obama, MD, PhD, FACS
Published in:
Annals of Surgical Oncology
|
Issue 2/2021
Login to get access
Excerpt
Robot-assisted minimally invasive esophagectomy (RAMIE) was introduced to overcome the complexity of conventional minimally invasive esophagectomy (MIE) in the early 2000s.
1 In a recent randomized controlled trial (ROBOT trial),
2 RAMIE showed better short-term outcomes than totally open esophagectomy, including a significantly lower incidence of postoperative pulmonary and cardiac complications, faster functional recovery, and better quality of life. However, the favorable outcomes of RAMIE could be ascribed primarily to the study design, which maximized the difference of surgical trauma to the right thoracic and abdominal cavity. Therefore, it remains unclear whether robotic assistance in the setting of MIE has a real clinical benefit over conventional MIE. …
