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Transcervical minimally invasive esophagectomy using da Vinci® SP™ Surgical System: a feasibility study in cadaveric model

  • Philip W. Y. ChiuEmail author
  • Simon S. M. Ng
  • Samuel K. W. Au
New Technology

Abstract

Background

This is a preclinical cadaveric study to investigate the feasibility of transcervical esophagectomy using a novel single-port robotic surgical system.

Methods

A 40-mm cervical incision was created over left supraclavicular fossa. The novel da Vinci® SP™ Surgical System was introduced through a wound retraction port. The mobilization of esophagus was performed using da Vinci SP from cervical, thoracic to abdominal segments. Lymph nodes were dissected en bloc with esophagus.

Results

The transcervical esophagectomy with complete mobilization of the cervical, thoracic, and abdominal esophagus was completed in 60 min. The procedure was completed using the novel da Vinci SP Surgical System, which was introduced via the cranial side over the left cervical incision. No additional port was used for retraction and dissection, and the esophageal hiatus could be reached after complete transcervical dissection.

Conclusion

This preclinical study demonstrated that transcervical esophagectomy is technically feasible and can be completed with the novel da Vinci SP Surgical System without additional ports or assistance. This will serve as an important step to the performance of robotic transcervical esophagectomy without the necessity of one-lung ventilation.

Keywords

Transcervical esophagectomy Robotic Assisted Minimally Invasive Esophagectomy Da Vinci Robotic Surgical System Esophagus 

Notes

Compliance with ethical standards

Disclosures

The current cadaveric model study was conducted at research laboratory of Intuitive Surgical Inc. at Sunnyvale, California, United States. Philip Chiu and Simon Ng received traveling sponsorship from Intuitive Surgical Inc. Samuel Au served as former systems analyst for Intuitive Surgical, Inc and led the algorithm development of da Vinci® Single-Site™ platform and was a contributor on the da Vinci® SP™ Surgical System platform.

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Copyright information

© Springer Science+Business Media, LLC, part of Springer Nature 2019

Authors and Affiliations

  1. 1.Division of Upper GI and Metabolic Surgery, Department of Surgery, Faculty of MedicineThe Chinese University of Hong KongShatinHong Kong
  2. 2.Division of Colorectal Surgery, Department of Surgery, Faculty of MedicineThe Chinese University of Hong KongShatinHong Kong
  3. 3.Department of Mechanical and Automation Engineering, Faculty of EngineeringThe Chinese University of Hong KongShatinHong Kong
  4. 4.4Chow Yuk Ho Technology Center for Innovative MedicineThe Chinese University of Hong KongShatinHong Kong

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