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Updated: Jun 24, 2026

Robotic Enucleation of Esophageal Leiomyoma

Robotic Enucleation of Esophageal Leiomyoma

Published on: February 20, 2026

Rationale for video-assisted radical esophagectomy.

Harushi Udagawa¹, Masaki Ueno, Yoshihiro Kinoshita

¹Department of Gastroenterological Surgery, Toranomon Hospital, 2-2-2 Toranomon, Minato-ku, Tokyo 105-8470, Japan. udagawah@toranomon.gr.jp

General Thoracic and Cardiovascular Surgery

|March 13, 2009

Summary

Video-assisted esophagectomy (VAE) offers a less invasive approach for esophageal cancer, potentially reducing pulmonary complications. Radical VAE demonstrates comparable lymphadenectomy thoroughness to traditional methods, supporting its feasibility as a standard procedure.

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Area of Science:

Surgical Oncology
Minimally Invasive Surgery
Gastrointestinal Surgery

Background:

Video-assisted esophagectomy (VAE) is underutilized in Japan due to perceived technical challenges and concerns about lymphadenectomy.
Esophageal cancer surgery traditionally involves thoracotomy, with a strong emphasis on comprehensive lymph node dissection.

Purpose of the Study:

To review existing literature and present personal experience supporting radical VAE as a standard surgical option for esophageal cancer.
To address concerns regarding the technical difficulty and oncological radicality of VAE.

Main Methods:

Review of previous reports on video-assisted esophagectomy.
Analysis of personal surgical experience with radical VAE for esophageal cancer.
Comparison of lymphadenectomy outcomes between VAE and conventional thoracotomy.

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Last Updated: Jun 24, 2026

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Published on: February 20, 2026

Robotic Myotomy and Partial Fundoplication for Achalasia

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Published on: August 11, 2023

Main Results:

VAE may lead to lower rates of postoperative pulmonary complications and a shorter systemic inflammatory response syndrome period.
The magnifying view and altered surgical perspective in VAE facilitate meticulous dissection.
Lymph node dissection in VAE is comparable to conventional thoracotomy, with no reported disadvantages in prognosis.

Conclusions:

Radical VAE is a feasible and oncologically sound procedure for esophageal cancer, comparable in radicality to open surgery.
VAE offers advantages of being less invasive and potentially allowing for more precise surgical technique.
Further adoption of VAE requires standardized evaluation of its radicality and safety among surgeons.