Abstract
The advent of robot-assisted surgery has made a major impact in the area of the foregut and esophagus. This minimally invasive approach is an invaluable tool for the progression and modernization of the field. Smaller incisions, shorter lengths of stay, and better visualization have resulted in the widespread adoption of robotic surgery of the foregut. The robotic platform has been shown to have utility in the setting of esophagectomy, transhiatal and transthoracic (Ivor Lewis) methods, and cancerous and benign cases. Moreover, robotic esophagomyotomy (Heller myotomy) has revolutionized the approach to achalasia with excellent results. Furthermore, a robotic approach to hiatal and paraesophageal hernia repair, alongside of fundoplication, is now integral to a modern practice. This is becoming more widespread for anti-reflux treatment and easing the difficulty associated with revisional surgery. The current trends in robotic-assisted surgery point toward an exciting future with boundless applications.
This is a preview of subscription content, log in via an institution to check access.
Access this chapter
Tax calculation will be finalised at checkout
Purchases are for personal use only
References
Horgan S, Berger RA, Elli E, Espat NJ. Robotic-assisted minimally invasive transhiatal esophagectomy. Am Surg. 2003;69:624–6.
Orringer MB. Transhiatal Esophagectomy: how I teach it. Ann Thorac Surg. 2016;102(5):1432–7. https://doi.org/10.1016/j.athoracsur.2016.09.044.
Low DE, Allum W, De Manzoni G, et al. Guidelines for perioperative Care in Esophagectomy: enhanced recovery after surgery (ERAS®) society recommendations. World J Surg. 2019;43(2):299–330. https://doi.org/10.1007/s00268-018-4786-4.
Boyle MJ, Franceschi D, Livingstone AS. Transhiatal versus transthoracic esophagectomy: complication and survival rates. Am Surg. 1999;65(12):1137–42.
Johansson J, DeMeester TR, Hagen JA, et al. En bloc vs transhiatal esophagectomy for stage T3 N1 adenocarcinoma of the distal esophagus. Arch Surg. 2004;139(6):627–33. https://doi.org/10.1001/archsurg.139.6.627.
Peyre CG, Hagen JA, DeMeester SR, et al. The number of lymph nodes removed predicts survival in esophageal cancer: an international study on the impact of extent of surgical resection. Ann Surg. 2008;248(4):549–56. https://doi.org/10.1097/SLA.0b013e318188c474.
Horgan S, Galvani C, Gorodner MV, et al. Robotic-assisted Heller myotomy versus laparoscopic Heller myotomy for the treatment of esophageal achalasia: multicenter study. J Gastrointest Surg. 2005;9(8):1020–30. discussion 1029–30.
Bonavina L, Nosadini A, Bardini R, Baessato M, Peracchia A. Primary treatment of esophageal achalasia. Long-term results of myotomy and dor fundoplication. Arch Surg. 1992;127:222–6. discussion 227.
Stefanidis D, Richardson W, Farrell T, Kohn G, Augenstein V, Fanelli R. Guidelines for the surgical treatment of esophageal achalasia. SAGES; 2011.
Oelschlager BK, Pellegrini CA, Hunter JG, Brunt ML, Soper NJ, Sheppard BC, Polissar NL, Neradilek MB, Mitsumori LM, Rohrmann CA, Swanstrom LL. Biologic prosthesis to prevent recurrence after laparoscopic Paraesophageal hernia repair: long-term follow-up from a multicenter, prospective, randomized trial. J Am Coll Surg. 2011;213:461–8.
Armijo PR, Pokala B, Misfeldt M, Pagkratis S, Oleynikov D. Predictors of hiatal hernia recurrence after laparoscopic anti-reflux surgery with hiatal hernia repair: a prospective database analysis. J Gastrointest Surg. 2019;23(4):696–701. https://doi.org/10.1007/s11605-018-04073-0.
Greene CL, DeMeester SR, Zehetner J, Worrell SG, Oh DS, Hagen JA, Endosc S. Diaphragmatic relaxing incisions during laparoscopic paraesophageal hernia repair. 2013;27(12):4532–8. Published online 2013 Aug 16.
Broderick RC, Smith CD, Cheverie JN, et al. Magnetic sphincter augmentation: a viable rescue therapy for symptomatic reflux following bariatric surgery. Surg Endosc. 2020;34(7):3211–5. https://doi.org/10.1007/s00464-019-07096-z.
Reynolds JL, Zehetner J, Wu P, Shah S, Bildzukewicz N, Lipham JC. Laparoscopic magnetic sphincter augmentation vs laparoscopic Nissen fundoplication: a matched-pair analysis of 100 patients. J Am Coll Surg. 2015;221(1):123–8. https://doi.org/10.1016/j.jamcollsurg.2015.02.025.
LINX® Reflux Management System Surgical Procedure. JNJ Institute. 2019.
Other References
JC DL, Kelly KJ, Jacobsen GR, Sandler BJ, Horgan S, Bouvet M. The benefits and limitations of robotic assisted transhiatal esophagectomy for esophageal cancer. J Vis Surg. 2016;2:156. Published 2016 Sep 8.
Kumar D, Zifan A, Ghahremani G, Kunkel DC, Horgan S, Mittal RK. Morphology of the esophageal hiatus: is it different in 3 types of hiatus hernias? J Neurogastroenterol Motil. 2020;26(1):51–60. https://doi.org/10.5056/jnm18208.
Sutherland V, Kuwada T, Gersin K, Simms C, Stefanidis D. Impact of bariatric surgery on hiatal hernia repair outcomes. Am Surg. 2016;82(8):743–7.
Author information
Authors and Affiliations
Editor information
Editors and Affiliations
Rights and permissions
Copyright information
© 2021 Springer Nature Switzerland AG
About this chapter
Cite this chapter
Straus, D.J. (2021). Robotic Esophageal Surgery. In: Horgan, S., Fuchs, KH. (eds) Innovative Endoscopic and Surgical Technology in the GI Tract . Springer, Cham. https://doi.org/10.1007/978-3-030-78217-7_4
Download citation
DOI: https://doi.org/10.1007/978-3-030-78217-7_4
Published:
Publisher Name: Springer, Cham
Print ISBN: 978-3-030-78216-0
Online ISBN: 978-3-030-78217-7
eBook Packages: MedicineMedicine (R0)