Abstract
Although dramatic advancements have been made since the first reported esophagectomy in 1911, surgery of the esophagus remains one of the most challenging operations with high morbidity and mortality. Introduction and continuous development of laparoscopic techniques during the last two decades have led to a significant shift in the treatment algorithm of esophageal diseases, and, in most cases, minimally invasive esophageal surgery has now replaced open procedures as the standard of care. Recently, robotic applications in the realm of minimally invasive esophageal surgery are gaining acceptance, and this chapter will explore the safety and feasibility of such techniques.
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References
Kelling GE. Olsophagoplastik mit Hiffeder Querkolon. Zentralbl Chir. 1911;38:209.
Siegel R, Naishadham D, Jemal A. Cancer statistics. CA Cancer J Clin. 2012;62(1):10–29.
van Hagen P, Hulshof MC, van Lanschot JJ, Steyerberg EW, van Berge Henegouwen MI, Wijnhoven BP, et al. Preoperative chemoradiotherapy for esophageal or junctional cancer. N Engl J Med. 2012;366(22):2074–84.
Orringer MB, Sloan H. Esophagectomy without thoracotomy. J Thorac Cardiovasc Surg. 1978;76(5):643–54.
Lewis I. The surgical treatment of carcinoma of the oesophagus; with special reference to a new operation for growths of the middle third. Br J Surg. 1946;34:18–31.
McKeown KC. Trends in oesophageal resection for carcinoma with special reference to total oesophagectomy. Ann R Coll Surg Engl. 1972;51(4):213–39.
Churchill ED, Sweet RH. Transthoracic resection of tumors of the esophagus and stomach. Ann Surg. 1942;115(6):897–920.
Collard JM, Lengele B, Otte JB, Kestens PJ. En bloc and standard esophagectomies by thoracoscopy. Ann Thorac Surg. 1993;56(3):675–9.
DePaula AL, Hashiba K, Ferreira EA, de Paula RA, Grecco E. Laparoscopic transhiatal esophagectomy with esophagogastroplasty. Surg Laparosc Endosc. 1995;5(1):1–5.
Swanstrom LL, Hansen P. Laparoscopic total esophagectomy. Arch Surg. 1997;132(9):943–7. discussion 7–9.
Levy RM, Trivedi D, Luketich JD. Minimally invasive esophagectomy. Surg Clin North Am. 2012;92(5):1265–85.
Nguyen NT, Hinojosa MW, Smith BR, Chang KJ, Gray J, Hoyt D. Minimally invasive esophagectomy: lessons learned from 104 operations. Ann Surg. 2008;248(6):1081–91.
Pennathur A, Awais O, Luketich JD. Technique of minimally invasive Ivor Lewis esophagectomy. Ann Thorac Surg. 2010;89(6):S2159–62.
Levy RM, Wizorek J, Shende M, Luketich JD. Laparoscopic and thoracoscopic esophagectomy. Adv Surg. 2010;44:101–16.
Mamidanna R, Bottle A, Aylin P, Faiz O, Hanna GB. Short-term outcomes following open versus minimally invasive esophagectomy for cancer in England: a population-based national study. Ann Surg. 2012;255(2):197–203.
Lazzarino AI, Nagpal K, Bottle A, Faiz O, Moorthy K, Aylin P. Open versus minimally invasive esophagectomy: trends of utilization and associated outcomes in England. Ann Surg. 2010;252(2):292–8.
Boone J, Livestro DP, Elias SG, Borel Rinkes IH, van Hillegersberg R. International survey on esophageal cancer: part I surgical techniques. Dis Esophagus. 2009;22(3):195–202.
Luketich JD, Pennathur A, Awais O, Levy RM, Keeley S, Shende M, et al. Outcomes after minimally invasive esophagectomy: review of over 1000 patients. Ann Surg. 2012;256(1):95–103.
Hernandez JM, Dimou F, Weber J, Almhanna K, Hoffe S, Shridhar R, et al. Defining the learning curve for robotic-assisted esophagogastrectomy. J Gastrointest Surg. 2013;17(8):1346–51.
Horgan S, Berger RA, Elli EF, Espat NJ. Robotic-assisted minimally invasive transhiatal esophagectomy. Am Surg. 2003;69(7):624–6.
Kernstine KH, DeArmond DT, Karimi M, Van Natta TL, Campos JH, Yoder MR, et al. The robotic, 2-stage, 3-field esophagolymphadenectomy. J Thorac Cardiovasc Surg. 2004;127(6):1847–9.
Kim DJ, Hyung WJ, Lee CY, Lee JG, Haam SJ, Park IK, et al. Thoracoscopic esophagectomy for esophageal cancer: feasibility and safety of robotic assistance in the prone position. J Thorac Cardiovasc Surg. 2010;139(1):53–9. e1.
Puntambekar SP, Rayate N, Joshi S, Agarwal G. Robotic transthoracic esophagectomy in the prone position: experience with 32 patients with esophageal cancer. J Thorac Cardiovasc Surg. 2011;142(5):1283–4.
Weksler B, Sharma P, Moudgill N, Chojnacki KA, Rosato EL. Robot-assisted minimally invasive esophagectomy is equivalent to thoracoscopic minimally invasive esophagectomy. Dis Esophagus. 2012;25(5):403–9.
de la Fuente SG, Weber J, Hoffe SE, Shridhar R, Karl R, Meredith KL. Initial experience from a large referral center with robotic-assisted Ivor Lewis esophagogastrectomy for oncologic purposes. Surg Endosc. 2013;27(9):3339–47.
Sarkaria IS, Rizk NP, Finley DJ, Bains MS, Adusumilli PS, Huang J, et al. Combined thoracoscopic and laparoscopic robotic-assisted minimally invasive esophagectomy using a four-arm platform: experience, technique and cautions during early procedure development. Eur J Cardiothorac Surg. 2013;43(5):e107–15.
Galvani CA, Gorodner MV, Moser F, Jacobsen G, Chretien C, Espat NJ, et al. Robotically assisted laparoscopic transhiatal esophagectomy. Surg Endosc. 2008;22(1):188–95.
Dunn DH, Johnson EM, Morphew JA, Dilworth HP, Krueger JL, Banerji N. Robot-assisted transhiatal esophagectomy: a 3-year single-center experience. Dis Esophagus. 2013;26(2):159–66.
Coker AM, Barajas-Gamboa JS, Cheverie J, Jacobsen GR, Sandler BJ, Talamini MA, et al. Outcomes of robotic-assisted transhiatal esophagectomy for esophageal cancer after neoadjuvant chemoradiation. J Laparoendosc Adv Surg Tech A. 2014;24(2):89–94.
Kernstine KH, DeArmond DT, Shamoun DM, Campos JH. The first series of completely robotic esophagectomies with three-field lymphadenectomy: initial experience. Surg Endosc. 2007;21(12):2285–92.
Clark J, Sodergren MH, Purkayastha S, Mayer EK, James D, Athanasiou T, et al. The role of robotic assisted laparoscopy for oesophagogastric oncological resection; an appraisal of the literature. Dis Esophagus. 2011;24(4):240–50.
van der Sluis PC, Ruurda JP, van der Horst S, Verhage RJ, Besselink MG, Prins MJ, et al. Robot-assisted minimally invasive thoraco-laparoscopic esophagectomy versus open transthoracic esophagectomy for resectable esophageal cancer, a randomized controlled trial (ROBOT trial). Trials. 2012;13:230.
Eckardt AJ, Eckardt VF. Treatment and surveillance strategies in achalasia: an update. Nat Rev Gastroenterol Hepatol. 2011;8(6):311–9.
Campos GM, Vittinghoff E, Rabl C, Takata M, Gadenstatter M, Lin F, et al. Endoscopic and surgical treatments for achalasia: a systematic review and meta-analysis. Ann Surg. 2009;249(1):45–57.
Heller E. Extramukose Cardiaplastik mit dilatation des oesophagus. Mitt Grenzgels Med Chir. 1913;27:141.
Shimi S, Nathanson LK, Cuschieri A. Laparoscopic cardiomyotomy for achalasia. J R Coll Surg Edinb. 1991;36(3):152–4.
Pellegrini C, Wetter LA, Patti M, Leichter R, Mussan G, Mori T, et al. Thoracoscopic esophagomyotomy. Initial experience with a new approach for the treatment of achalasia. Ann Surg. 1992;216(3):291–6. discussion 6–9.
Katilius M, Velanovich V. Heller myotomy for achalasia: quality of life comparison of laparoscopic and open approaches. JSLS. 2001;5(3):227–31.
Patti MG, Arcerito M, De Pinto M, Feo CV, Tong J, Gantert W, et al. Comparison of thoracoscopic and laparoscopic Heller myotomy for achalasia. J Gastrointest Surg. 1998;2(6):561–6.
Stewart KC, Finley RJ, Clifton JC, Graham AJ, Storseth C, Inculet R. Thoracoscopic versus laparoscopic modified Heller Myotomy for achalasia: efficacy and safety in 87 patients. J Am Coll Surg. 1999;189(2):164–9. discussion 9–70.
Rebecchi F, Giaccone C, Farinella E, Campaci R, Morino M. Randomized controlled trial of laparoscopic Heller myotomy plus Dor fundoplication versus Nissen fundoplication for achalasia: long-term results. Ann Surg. 2008;248(6):1023–30.
Rawlings A, Soper NJ, Oelschlager B, Swanstrom L, Matthews BD, Pellegrini C, et al. Laparoscopic Dor versus Toupet fundoplication following Heller myotomy for achalasia: results of a multicenter, prospective, randomized-controlled trial. Surg Endosc. 2012;26(1):18–26.
Falkenback D, Johansson J, Oberg S, Kjellin A, Wenner J, Zilling T, et al. Heller’s esophagomyotomy with or without a 360 degrees floppy Nissen fundoplication for achalasia. Long-term results from a prospective randomized study. Dis Esophagus. 2003;16(4):284–90.
Melvin WS, Needleman BJ, Krause KR, Wolf RK, Michler RE, Ellison EC. Computer-assisted robotic Heller myotomy: initial case report. J Laparoendosc Adv Surg Tech A. 2001;11(4):251–3.
Horgan S, Galvani C, Gorodner MV, Omelanczuck P, Elli F, Moser F, et al. Robotic-assisted Heller myotomy versus laparoscopic Heller myotomy for the treatment of esophageal achalasia: multicenter study. J Gastrointest Surg. 2005;9(8):1020–9. discussion 9–30.
Melvin WS, Dundon JM, Talamini M, Horgan S. Computer-enhanced robotic telesurgery minimizes esophageal perforation during Heller myotomy. Surgery. 2005;138(4):553–8. discussion 8–9.
Huffmanm LC, Pandalai PK, Boulton BJ, James L, Starnes SL, Reed MF, et al. Robotic Heller myotomy: a safe operation with higher postoperative quality-of-life indices. Surgery. 2007;142(4):613–8. discussion 8–20.
Shaligram A, Unnirevi J, Simorov A, Kothari VM, Oleynikov D. How does the robot affect outcomes? A retrospective review of open, laparoscopic, and robotic Heller myotomy for achalasia. Surg Endosc. 2012;26(4):1047–50.
Galvani C, Gorodner MV, Moser F, Baptista M, Donahue P, Horgan S. Laparoscopic Heller myotomy for achalasia facilitated by robotic assistance. Surg Endosc. 2006;20(7):1105–12.
Plachta A. Benign tumors of the esophagus. Review of literature and report of 99 cases. Am J Gastroenterol. 1962;38:639–52.
Moersch HJ, Harrington SW. Benign tumor of the esophagus. Ann Otol Rhinol Laryngol. 1944;53:800.
Elli E, Espat NJ, Berger R, Jacobsen G, Knoblock L, Horgan S. Robotic-assisted thoracoscopic resection of esophageal leiomyoma. Surg Endosc. 2004;18(4):713–6.
DeUgarte DA, Teitelbaum D, Hirschl RB, Geiger JD. Robotic extirpation of complex massive esophageal leiomyoma. J Laparoendosc Adv Surg Tech A. 2008;18(2):286–9.
Khalaileh A, Savetsky I, Adileh M, Elazary R, Abu-Gazala M, Gazala SA, et al. Robotic-assisted enucleation of a large lower esophageal leiomyoma and review of literature. Int J Med Robot. 2013;9(3):253–7.
Fernando HC, Erdem CC, Daly B, Shemin RJ. Robotic assisted thoracic surgery for resection of an esophageal cyst. Dis Esophagus. 2006;19(6):509–11.
Ringley C, Bochkarev V, Oleynikov D. Esophageal duplication cyst–a guest case in robotic and computer-assisted surgery from the University of Nebraska Medical Center. MedGenMed. 2006;8(4):25.
Obasi PC, Hebra A, Varela JC. Excision of esophageal duplication cysts with robotic-assisted thoracoscopic surgery. JSLS. 2011;15(2):244–7.
Elola-Olaso AM, Mullett TW, Gagliardi RJ. Epiphrenic diverticulum: robotic-assisted transhiatal approach. Surg Laparosc Endosc Percutan Tech. 2009;19(5):e184–8.
Dean C, Etienne D, Carpentier B, Gielecki J, Tubbs RS, Loukas M. Hiatal hernias. Surg Radiol Anat. 2012;34(4):291–9.
Davis Jr SS. Current controversies in paraesophageal hernia repair. Surg Clin North Am. 2008;88(5):959–78. vi.
Kehdy F. Current management of paraesophageal hernia. Am Surg. 2011;77(12):1565–73.
Schauer PR, Ikramuddin S, McLaughlin RH, Graham TO, Slivka A, Lee KK, et al. Comparison of laparoscopic versus open repair of paraesophageal hernia. Am J Surg. 1998;176(6):659–65.
Wiechmann RJ, Ferguson MK, Naunheim KS, McKesey P, Hazelrigg SJ, Santucci TS, et al. Laparoscopic management of giant paraesophageal herniation. Ann Thorac Surg. 2001;71(4):1080–6. discussion 6–7.
Andujar JJ, Papasavas PK, Birdas T, Robke J, Raftopoulos Y, Gagne DJ, et al. Laparoscopic repair of large paraesophageal hernia is associated with a low incidence of recurrence and reoperation. Surg Endosc. 2004;18(3):444–7.
Karmali S, McFadden S, Mitchell P, Graham A, Debru E, Gelfand G, et al. Primary laparoscopic and open repair of paraesophageal hernias: a comparison of short-term outcomes. Dis Esophagus. 2008;21(1):63–8.
Nguyen NT, Christie C, Masoomi H, Matin T, Laugenour K, Hohmann S. Utilization and outcomes of laparoscopic versus open paraesophageal hernia repair. Am Surg. 2011;77(10):1353–7.
Oelschlager BK, Petersen RP, Brunt LM, Soper NJ, Sheppard BC, Mitsumori L, et al. Laparoscopic paraesophageal hernia repair: defining long-term clinical and anatomic outcomes. J Gastrointest Surg. 2012;16(3):453–9.
Draaisma WA, Gooszen HG, Consten EC, Broeders IA. Mid-term results of robot-assisted laparoscopic repair of large hiatal hernia: a symptomatic and radiological prospective cohort study. Surg Technol Int. 2008;17:165–70.
Gehrig T, Mehrabi A, Fischer L, Kenngott H, Hinz U, Gutt CN, et al. Robotic-assisted paraesophageal hernia repair–a case–control study. Langenbecks Arch Surg. 2013;398(5):691–6.
Seetharamaiah R, Romero RJ, Kosanovic R, Gallas M, Verdeja JC, Rabaza J, et al. Robotic repair of giant paraesophageal hernias. JSLS. 2013;17(4):570–7.
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Chaudhry, U.I., Melvin, W.S. (2015). Essentials and Future Directions of Robotic Esophageal Surgery. In: Kroh, M., Chalikonda, S. (eds) Essentials of Robotic Surgery. Springer, Cham. https://doi.org/10.1007/978-3-319-09564-6_4
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DOI: https://doi.org/10.1007/978-3-319-09564-6_4
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