Robotic Side-to-Side and End-to-Side Stapled Esophagogastric Anastomosis of Ivor Lewis Esophagectomy for Cancer

Background Both linear-stapled side-to-side esophagogastric anastomosis (LSEA) and circular-stapled end-to-side esophagogastric anastomosis (CEEA) are frequently used following esophagectomy. The aims of the present study were to review our experience of robotic intrathoracic alimentary tract recons...

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Bibliographic Details
Published in:World journal of surgery 2019-12, Vol.43 (12), p.3074-3082
Main Authors: Zhang, Hanlu, Wang, Zihao, Zheng, Yu, Geng, Yingcai, Wang, Fuqiang, Chen, Long-Qi, Wang, Yun
Format: Article
Language:English
Subjects:
Abdominal Surgery
Anastomosis
Cardiac Surgery
Complications
Demographics
Dysphagia
Esophagus
Females
Gastrointestinal surgery
Gastrointestinal tract
General Surgery
Males
Medical personnel
Medicine
Medicine & Public Health
Mortality
Original Scientific Report
Robotic surgery
Robotics
Surgery
Surgical outcomes
Thoracic Surgery
Vascular Surgery
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Summary:Background Both linear-stapled side-to-side esophagogastric anastomosis (LSEA) and circular-stapled end-to-side esophagogastric anastomosis (CEEA) are frequently used following esophagectomy. The aims of the present study were to review our experience of robotic intrathoracic alimentary tract reconstruction and to compare the short-term surgical outcomes of LSEA and CEEA in robotic Ivor Lewis esophagectomy. Methods A prospectively collected dataset from 79 consecutive patients who underwent robot-assisted Ivor Lewis esophagectomy from February 2016 to December 2018 was retrospectively analyzed. Two groups (LSEA and CEEA) were classified according to the anastomotic mode. Demographic data, intraoperative characteristics and short-term surgical outcomes were compared between the two groups. Results Two patients were converted to laparotomy. The remaining 77 patients (68 males and 9 females, mean age of 61.7 years) were successfully treated with completely robotic Ivor Lewis esophagectomy. According to the anastomotic procedure performed, 35 patients were categorized into the LSEA group and 42 patients were categorized into the CEEA group. The mean anastomotic time in the LSEA group was longer than that in the CEEA group (63.0 ± 9.0 vs. 44.2 ± 8.5 min, p  
ISSN:0364-2313
1432-2323
DOI:10.1007/s00268-019-05133-5