Jagdishwar Goud G1 and Bala Vikas Kumar M2 *
1 Department of Robotic Surgery and HIPEC, Yashoda Hospitals, India 2 Department of Robotic Surgery, Yashoda Hospitals, IndiaFulltext PDF
Introduction: The high morbidity and mortality after the conventional esophagectomy lead to the need for innovation in the field of minimal access esophagectomy, initially thoracoscopy and now is the era of Robotics. This paper presents the results of totally robotic esophagectomy in a series of 162 patients. Materials and Methods: This is a retrospective study of 162 patients undergoing totally robotic esophagectomy for carcinoma esophagus in a single institute for a period of 4 yrs from January 2013 to January 2016. Results: Variables such as age, gender, site, and histology, and operative time, amount of blood loss, ICU stay and number of lymph nodes harvested are taken into consideration in this study. The overall operative time ranges from 200 min to 420 min average being 292.4 min. The mean number of lymph nodes harvested was 42.36 (range 38-48) which can be considered to be highest among all as per our knowledge till date. Mean ICU stay was 2.3 days. Median follow-up period of 18 months showed 145 (89.5%) patients alive with disease free stage. Conclusion: Robotic esophagectomy clearly shows an advantage in the aspects of accessibility and higher yield of lymph nodal clearance apart from reduced morbidity and mortality
Jagdishwar Goud G, Bala Vikas Kumar M. Totally Robotic Esophagectomy: The Largest Series. Ann Robot Surg. 2019; 1(1):1003..