A novel robotic technique for creating the retrosternal route in gastric conduit reconstruction.

IF 1.7 4区医学 Q2 SURGERY

Minimally Invasive Therapy & Allied Technologies Pub Date : 2025-03-13 DOI:10.1080/13645706.2025.2475122

Toshikatsu Tsuji, Noriyuki Inaki, Kenta Doden, Saki Hayashi, Hiroto Saito, Takahisa Yamaguchi, Daisuke Yamamoto, Koichi Okamoto, Hideki Moriyama, Jun Kinoshita

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引用次数: 0

Abstract

Background: The optimal reconstruction route after esophagectomy remains controversial. The retrosternal route has the advantage of a lower risk of fatal complications. However, the blind maneuver to create a retrosternal route may cause bleeding and pleural injury. Herein, we report a novel robotic technique for creating a retrosternal route.

Methods: This study included 43 consecutive patients with esophageal cancer who underwent robot-assisted minimally invasive esophagectomy with robotic retrosternal route reconstruction between April 2021 and December 2023. Clinicopathological findings and perioperative outcomes, including the time required to create the retrosternal route, were retrospectively analyzed. The creation times were also compared among surgeons.

Results: The median age and body mass index of the patients were 68 years (range: 46-80) and 21.4 kg/m2 (range: 16.6-30.2 kg/m2), respectively. Twenty-six patients (60%) received neoadjuvant chemotherapy. The median time to create the retrosternal route was nine minutes (range, 5-14 min). No cases showed pleural injury or postoperative hemorrhage associated with this procedure. There was no significant difference in the time taken to create the retrosternal route between the four surgeons (p = 0.434).

Conclusions: Robotic creation of a retrosternal route for gastric conduit reconstruction is simple, easy to learn, and results in a safe and feasible procedure.

查看原文本刊更多论文

一种新型机器人技术在胃导管重建中创建胸骨后路径。

背景：食管切除术后的最佳重建途径仍有争议。胸骨后路径的优点是致命并发症的风险较低。然而，盲目操作创建胸骨后路径可能导致出血和胸膜损伤。在此，我们报告了一种用于创建胸骨后路径的新型机器人技术。方法：本研究纳入了2021年4月至2023年12月期间连续43例食管癌患者，他们接受了机器人辅助微创食管切除术和机器人胸骨后路径重建。回顾性分析临床病理表现和围手术期结果，包括建立胸骨后通路所需的时间。还比较了外科医生的创面时间。结果：患者年龄中位数为68岁（范围46 ~ 80），体重指数中位数为21.4 kg/m2（范围16.6 ~ 30.2 kg/m2）。26例（60%）患者接受了新辅助化疗。建立胸骨后通路的中位时间为9分钟（范围5-14分钟）。没有病例显示胸膜损伤或术后出血与该手术相关。4位外科医生创建胸骨后路径所需时间无显著差异（p = 0.434）。结论：机器人创建胸骨后胃导管重建路径简单，易于学习，并且是安全可行的手术。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Minimally Invasive Therapy & Allied Technologies 医学-外科

CiteScore

3.80

自引率

5.90%

发文量

审稿时长

6-12 weeks

期刊介绍： Minimally Invasive Therapy and Allied Technologies (MITAT) is an international forum for endoscopic surgeons, interventional radiologists and industrial instrument manufacturers. It is the official journal of the Society for Medical Innovation and Technology (SMIT) whose membership includes representatives from a broad spectrum of medical specialities, instrument manufacturing and research. The journal brings the latest developments and innovations in minimally invasive therapy to its readers. What makes Minimally Invasive Therapy and Allied Technologies unique is that we publish one or two special issues each year, which are devoted to a specific theme. Key topics covered by the journal include: interventional radiology, endoscopic surgery, imaging technology, manipulators and robotics for surgery and education and training for MIS.