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Updated: Mar 22, 2026

Robotic Myotomy and Partial Fundoplication for Achalasia
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[Robotic-Assisted Oesophageal Surgery].

J-H Egberts1, H Aselmann1, C Hauser1

  • 1Klinik für Allgemeine-, Viszeral-, Thorax-, Transplantations- und Kinderchirurgie, Universitätsklinikum Schleswig-Holstein, Campus Kiel, Deutschland.

Zentralblatt Fur Chirurgie
|April 14, 2016
PubMed
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Robotic-assisted minimally invasive esophagectomy is a feasible approach for cancer surgery. Implementing structured programs and evaluating results can improve outcomes and adoption of this advanced technique.

Area of Science:

  • Surgical Oncology
  • Minimally Invasive Surgery
  • Robotic Surgery

Background:

  • Abdominothoracic esophageal resections, or Ivor Lewis procedures, are complex surgeries.
  • Minimally invasive techniques are increasingly used, but intrathoracic anastomosis remains challenging.
  • This article details the use of the Da Vinci robotic system in esophageal surgery.

Purpose of the Study:

  • To describe the application of the Da Vinci robotic system in esophageal surgery.
  • To evaluate the feasibility and outcomes of robotic-assisted minimally invasive esophagectomy.

Main Methods:

  • Prospective data collection of robotic-assisted esophageal surgeries.
  • Analysis of surgeries performed at University Hospital of Schleswig-Holstein, Campus Kiel (November 2013 - November 2015).

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Last Updated: Mar 22, 2026

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Main Results:

  • 56 patients underwent robotic-assisted surgery (43 Ivor Lewis, 10 McKeown, 3 leiomyoma enucleation).
  • Complete tumor resection (R0) in 93.4%; mean 23 lymph nodes resected.
  • 34.1% conversion to open surgery; 34% pulmonary complications; 7.1% mortality.

Conclusions:

  • Robotic-assisted minimally invasive esophagectomy is feasible and effective for oncological surgery.
  • Structured implementation, critical evaluation, and collaboration are key to improving outcomes.
  • Further technological advancements and experience may increase widespread adoption.