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Related Experiment Video

Updated: Apr 14, 2026

Robotic Enucleation of Esophageal Leiomyoma
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Robotic transthoracic esophagectomy.

Shailesh Puntambekar1, Rahul Kenawadekar2,3, Sanjay Kumar2

  • 1Galaxy Care Laparoscopy Institute, Opposite Garware College, 25-A, Ayurvedic Rasashala Premises, Karve Road, Pune, Maharashtra, 411004, India. shase63@gmail.com.

BMC Surgery
|April 23, 2015
PubMed
Summary
This summary is machine-generated.

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This study shows robotic transthoracic esophagectomy is a feasible and safe procedure for esophageal cancer, offering reduced operative time, blood loss, and complications in a large patient series.

Area of Science:

  • Surgical Oncology
  • Minimally Invasive Surgery
  • Robotic Surgery

Background:

  • Initial experience with robotic transthoracic esophagectomy in 32 patients was previously published.
  • This study extends the experience, representing the largest series of robotic transthoracic esophagectomy globally.
  • Focuses on a single institute's experience.

Purpose of the Study:

  • To investigate the feasibility of robotic transthoracic esophagectomy for esophageal cancer.
  • To evaluate outcomes in a large series of patients undergoing this procedure.

Main Methods:

  • Retrospective review of 83 esophageal cancer patients who underwent robotic esophagectomy (December 2009 - December 2012).
  • All patients had clinical examination, pre-operative investigations, and robotic esophageal mobilization.

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  • En-bloc dissection with lymphadenectomy and Azygous vein preservation were performed.

    • Main Results:

    • The study included 83 patients (50 male, 33 female; mean age 59.18 years).
    • Mean operative time was 204.94 minutes, mean blood loss 86.75 ml, with a mean lymph node yield of 18.36.
    • 19.28% of patients experienced complications (dysphagia, pleural effusion, anastomotic leak); no treatment-related mortality was observed. Median follow-up was 10 months, with a 79.52% disease-free survival rate.

    Conclusions:

    • Robot-assisted thoracoscopic esophagectomy is feasible for esophageal cancer.
    • The procedure enables precise en-bloc dissection and lymphadenectomy in the mediastinum.
    • Associated with reduced operative time, blood loss, and complications.