Victor D Plat1, Wessel T Stam2, Linda J Schoonmade3, David J Heineman4, Donald L van der Peet2, Freek Daams2. 1. Department of Gastrointestinal surgery, Amsterdam UMC, VU University Medical Center, Amsterdam, the Netherlands. Electronic address: v.plat@amsterdamumc.nl. 2. Department of Gastrointestinal surgery, Amsterdam UMC, VU University Medical Center, Amsterdam, the Netherlands. 3. Medical Library, Amsterdam UMC, VU University Medical Center, Amsterdam, the Netherlands. 4. Department of Gastrointestinal surgery, Amsterdam UMC, VU University Medical Center, Amsterdam, the Netherlands; Department of Cardiothoracic surgery, Amsterdam UMC, VU University Medical Center, Amsterdam, the Netherlands.
Abstract
BACKGROUND: Robot-assisted surgery for esophageal cancer is increasingly applied. Despite this upsurge, the preferential technique to create a robot-assisted intrathoracic anastomosis has not been established. DATA SOURCES: Bibliographic databases were searched to identify studies that performed a robot-assisted Ivor Lewis esophagectomy and described the technical details of the anastomotic technique. Out of 1701 articles, 16 studies were included for systematic review. CONCLUSIONS: This review shows that all technique used to create a thoracoscopic anastomosis can be adopted to robotic surgery. Techniques can be divided into three categories: robotic hand-sewn, circular stapling or linear stapling and robotic hand-sewn closure of the stapler defect. With limited robotic experience, circular stapling might be the preferred technique, however requires a well-trained bedside assistant. The linear stapling technique or hand-sewn technique are more challenging but enable experienced robotic surgeons to perform a controlled anastomosis without bedside support.
BACKGROUND: Robot-assisted surgery for esophageal cancer is increasingly applied. Despite this upsurge, the preferential technique to create a robot-assisted intrathoracic anastomosis has not been established. DATA SOURCES: Bibliographic databases were searched to identify studies that performed a robot-assisted Ivor Lewis esophagectomy and described the technical details of the anastomotic technique. Out of 1701 articles, 16 studies were included for systematic review. CONCLUSIONS: This review shows that all technique used to create a thoracoscopic anastomosis can be adopted to robotic surgery. Techniques can be divided into three categories: robotic hand-sewn, circular stapling or linear stapling and robotic hand-sewn closure of the stapler defect. With limited robotic experience, circular stapling might be the preferred technique, however requires a well-trained bedside assistant. The linear stapling technique or hand-sewn technique are more challenging but enable experienced robotic surgeons to perform a controlled anastomosis without bedside support.
Authors: Fiorenzo V Angehrn; Kerstin J Neuschütz; Daniel C Steinemann; Martin Bolli; Lana Fourie; Pauline Becker; Markus von Flüe Journal: Surg Endosc Date: 2022-07-19 Impact factor: 3.453
Authors: A Peri; N Furbetta; J Viganò; L Pugliese; G Di Franco; F S Latteri; N Mineo; F C Bruno; V Gallo; L Morelli; A Pietrabissa Journal: Surg Endosc Date: 2021-09-09 Impact factor: 4.584