Satoru Motoyama1,2,3, Yusuke Sato4,2, Akiyuki Wakita4,2, Yuta Kawakita4,2, Yushi Nagaki4,2, Kazuhiro Imai2, Yoshihiro Minamiya2. 1. Esophageal Surgery, Akita University Hospital, Akita, Japan motoyama@doc.med.akita-u.ac.jp. 2. Thoracic Surgery, Akita University Graduate School of Medicine, Akita, Japan. 3. Comprehensive Cancer Control, Akita University Graduate School of Medicine, Akita, Japan. 4. Esophageal Surgery, Akita University Hospital, Akita, Japan.
Abstract
BACKGROUND/AIM: The potential advantages of robot-assisted thoracoscopic esophagectomy (RATE) have yet to be verified. This study focused on the degree of lymph node dissection around the left recurrent laryngeal nerve (RLN). PATIENTS AND METHODS: A total of 21 consecutive patients who received RATE (RATE group) and 38 who received conventional thoracoscopic esophagectomy (TE) (TE group), both with extended lymphadenectomy, for thoracic squamous cell esophageal carcinoma, were enrolled in this study. We compared the numbers of lymph nodes dissected from the mediastinum, especially around the left RLN. RESULTS: The median number of lymph nodes dissected from around the left RLN was 6 in the RATE group and 4 in the TE group, and the ratio of the dissected lymph nodes around the left RLN to all lymph nodes was significantly higher in the RATE group (p=0.048). CONCLUSION: Our findings indicate that a robot-assisted surgical system enables for more extensive dissection of lymph nodes around the left RLN. Copyright
BACKGROUND/AIM: The potential advantages of robot-assisted thoracoscopic esophagectomy (RATE) have yet to be verified. This study focused on the degree of lymph node dissection around the left recurrent laryngeal nerve (RLN). PATIENTS AND METHODS: A total of 21 consecutive patients who received RATE (RATE group) and 38 who received conventional thoracoscopic esophagectomy (TE) (TE group), both with extended lymphadenectomy, for thoracic squamous cell esophageal carcinoma, were enrolled in this study. We compared the numbers of lymph nodes dissected from the mediastinum, especially around the left RLN. RESULTS: The median number of lymph nodes dissected from around the left RLN was 6 in the RATE group and 4 in the TE group, and the ratio of the dissected lymph nodes around the left RLN to all lymph nodes was significantly higher in the RATE group (p=0.048). CONCLUSION: Our findings indicate that a robot-assisted surgical system enables for more extensive dissection of lymph nodes around the left RLN. Copyright
Authors: Richard Zheng; Courtney L Devin; Thomas O'Malley; Francesco Palazzo; Nathaniel R Evans Journal: Surg Endosc Date: 2019-10-28 Impact factor: 4.584
Authors: Michael A Mederos; Michael J de Virgilio; Rivfka Shenoy; Linda Ye; Paul A Toste; Selene S Mak; Marika S Booth; Meron M Begashaw; Mark Wilson; William Gunnar; Paul G Shekelle; Melinda Maggard-Gibbons; Mark D Girgis Journal: JAMA Netw Open Date: 2021-11-01