Background: Currently, little is known regarding the optimal technique for the abdominal phase of RAMIE. The aim of this study was to investigate the outcome of robot-assisted minimally invasive esophagectomy (RAMIE) in both the abdominal and thoracic phase (full RAMIE) compared to laparoscopy during the abdominal phase (hybrid laparoscopic RAMIE). Methods: This retrospective propensity-score matched analysis of the International Upper Gastrointestinal International Robotic Association (UGIRA) database included 807 RAMIE procedures with intrathoracic anastomosis between 2017 and 2021 from 23 centers. Results: After propensity-score matching, 296 hybrid laparoscopic RAMIE patients were compared to 296 full RAMIE patients. Both groups were equal regarding intraoperative blood loss (median 200 ml versus 197 ml, p = 0.6967), operational time (mean 430.3 min versus 417.7 min, p = 0.1032), conversion rate during abdominal phase (2.4% versus 1.7%, p = 0.560), radical resection (R0) rate (95.6% versus 96.3%, p = 0.8526) and total lymph node yield (mean 30.4 versus 29.5, p = 0.3834). The hybrid laparoscopic RAMIE group showed higher rates of anastomotic leakage (28.0% versus 16.6%, p = 0.001) and Clavien Dindo grade 3a or higher (45.3% versus 26.0%, p < 0.001). The length of stay on intensive care unit (median 3 days versus 2 days, p = 0.0005) and in-hospital (median 15 days versus 12 days, p < 0.0001) were longer for the hybrid laparoscopic RAMIE group. Conclusions: Hybrid laparoscopic RAMIE and full RAMIE were oncologically equivalent with a potential decrease of postoperative complications and shorter (intensive care) stay after full RAMIE.


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    Titel :

    Hybrid laparoscopic versus fully robot-assisted minimally invasive esophagectomy:an international propensity-score matched analysis of perioperative outcome


    Beteiligte:
    Jung, Jin On (Autor:in) / de Groot, Eline M. (Autor:in) / Kingma, B. Feike (Autor:in) / Babic, Benjamin (Autor:in) / Ruurda, Jelle P. (Autor:in) / Grimminger, Peter P. (Autor:in) / Hölzen, Jens P. (Autor:in) / Chao, Yin Kai (Autor:in) / Haveman, Jan W. (Autor:in) / van Det, Marc J. (Autor:in)

    Erscheinungsdatum :

    01.06.2023


    Anmerkungen:

    UGIRA Study Group , Jung , J O , de Groot , E M , Kingma , B F , Babic , B , Ruurda , J P , Grimminger , P P , Hölzen , J P , Chao , Y K , Haveman , J W , van Det , M J , Rouanet , P , Benedix , F , Li , H , Sarkaria , I , van Berge Henegouwen , M I , van Boxel , G I , Chiu , P , Egberts , J H , Sallum , R , Immanuel , A , Turner , P , Low , D E , Hubka , M , Perez , D , Strignano , P , Biebl , M , Chaudry , M A , Bruns , C J , van Hillegersberg , R & Fuchs , H F 2023 , ' Hybrid laparoscopic versus fully robot-assisted minimally invasive esophagectomy : an international propensity-score matched analysis of perioperative outcome ' , Surgical Endoscopy , vol. 37 , pp. 4466–4477 . https://doi.org/10.1007/s00464-023-09911-0



    Medientyp :

    Aufsatz (Zeitschrift)


    Format :

    Elektronische Ressource


    Sprache :

    Englisch



    Klassifikation :

    DDC:    629




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