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Related Concept Videos

Esophageal Varices-I: Introduction01:24

Esophageal Varices-I: Introduction

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Esophageal varices are dilated, tortuous veins which are found mainly in the submucosa of the lower esophagus but which may also appear higher up or extend into the stomach. They develop due to increased pressure in the portal venous system, often as a result of liver cirrhosis. This condition scars and damages the liver, impeding normal blood flow through the portal vein. To compensate, blood seeks alternative pathways, forming fragile new vessels (varices) in the esophagus and stomach. These...
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Esophageal Perforation-I: Introduction01:22

Esophageal Perforation-I: Introduction

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Esophageal perforation is a severe medical condition characterized by a breach in the integrity of the esophageal wall. This breach can occur due to various factors such as trauma, medical procedures, or underlying diseases. When the esophageal wall is compromised, it allows food, fluids, and digestive juices into the chest cavity or adjacent structures, leading to potential complications and health risks.
The location of esophageal perforation can vary, occurring anywhere along the esophagus....
613
Esophageal Strictures-I: Introduction01:30

Esophageal Strictures-I: Introduction

881
Esophageal strictures involve abnormal narrowing or tightening of the esophagus. They vary in length and severity, ranging from mild constriction to complete obstruction, and are classified as benign (noncancerous) or malignant (cancerous).
Etiology
The primary cause of esophageal strictures is long-standing gastroesophageal reflux disease (GERD), accounting for about 70 to 80% of adult cases. Chronic acid reflux can lead to injury and scarring of the esophageal lining, culminating in...
881
Esophageal Strictures-II: Clinical Features and Management01:26

Esophageal Strictures-II: Clinical Features and Management

665
Patients with esophageal strictures often experience a range of symptoms. Initially, they may have difficulty swallowing solid foods, which can progress to include liquids. Additional symptoms may involve chest pain or discomfort, regurgitating food and fluids, heartburn, unintentional weight loss, coughing or choking during meals, and hoarseness.
Healthcare providers should gather a comprehensive medical history and conduct a physical examination for diagnosis. If esophageal stricture is...
665
Esophageal Perforation-II: Clinical Manifestations and Management01:28

Esophageal Perforation-II: Clinical Manifestations and Management

737
Esophageal perforations manifest in various clinical forms, influenced by factors such as the perforation's cause and location (cervical, intrathoracic, or intra-abdominal), the extent of contamination, and potential injury to adjacent mediastinal structures. The timing between the perforation occurrence and treatment initiation also affects the clinical presentation.
Clinical Manifestations:
737
Esophageal Varices-II: Clinical Features and Management01:28

Esophageal Varices-II: Clinical Features and Management

588
Esophageal varices often manifest as gastrointestinal bleeding episodes, presenting symptoms like hematemesis (vomiting of blood), hematochezia (passing fresh blood via the rectum), and melena (black, tarry stools). Other signs can include weight loss, anorexia, abdominal discomfort, jaundice, pruritus, altered mental status, and muscle cramps.
In the initial assessment, a thorough review of the patient's medical history is vital to identify risk factors such as liver disease, alcohol...
588

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Robotics in Surgery: A Modular Robotic Platform Driven Gastric Wedge Resection
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Robot-assisted esophageal surgery using the da Vinci

A Pötscher1, C Bittermann2, F Längle2

  • 1Surgical Department, Landesklinikum Wiener Neustadt, Corvinusring 3-5, 2700, Wiener Neustadt, Austria. Alexander.poetscher@wienerneustadt.lknoe.at.

Journal of Robotic Surgery
|September 14, 2018
PubMed
Summary

The da Vinci® Xi system enhances minimally invasive esophageal surgery. Robotic-assisted minimally invasive esophagectomy (MIE) shows significant advantages and positive outcomes, establishing a new surgical standard.

Keywords:
Esophageal cancerRobot-assisted minimal invasive esophagectomyRobotic surgeryda Vinci® Xi

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Area of Science:

  • Robotic Surgery
  • Minimally Invasive Surgery
  • Gastrointestinal Surgery

Background:

  • The da Vinci® Xi system has been successfully implemented in colorectal surgery.
  • Advancements in surgical technology are crucial for improving patient outcomes.
  • Minimally invasive techniques are increasingly preferred in complex surgical procedures.

Purpose of the Study:

  • To illustrate the experience with the da Vinci® Xi system in esophageal surgery.
  • To evaluate the advantages of robotic assistance in minimally invasive esophagectomy (MIE).
  • To develop a surgical standard for robotic-assisted MIE.

Main Methods:

  • Retrospective review of esophageal surgeries performed with the da Vinci® Xi system.
  • Description of the implementation and adaptation of the da Vinci® Xi system for upper gastrointestinal surgery.
  • Surgical technique and standardization for robotic-assisted MIE.

Main Results:

  • The da Vinci® Xi system has led to significant improvements in minimally invasive surgery.
  • The robotic system offers distinct advantages and positive effects in MIE.
  • Successful establishment of robotic-assisted MIE procedures.

Conclusions:

  • The da Vinci® Xi system is a valuable tool for esophageal surgery.
  • Robotic assistance positively impacts minimally invasive esophagectomy outcomes.
  • A standardized approach to robotic-assisted MIE is achievable and beneficial.