Related Experiment Video
Updated: Nov 28, 2025
An Ivor Lewis Esophagectomy Designed to Minimize Anastomotic Complications and Optimize Conduit Function
Published on: April 17, 2020
[New techniques and training methods for robot-assisted surgery and cost-benefit analysis of Ivor Lewis
Alexander Urbanski1, Benjamin Babic1, Wolfgang Schröder1
1Klinik und Poliklinik für Allgemein‑, Viszeral‑, Tumor- und Transplantationschirurgie, Uniklinikum Köln, Kerpener Straße 62, 50937, Köln, Deutschland.
Introduction:
Robotic surgery was introduced into general surgery more than 20 years ago. Shortly afterwards, Horgan performed the first robotic-assisted esophagectomy in 2003 in Chicago. The aim of this manuscript is to elucidate new developments and training methods in robotic surgery with a cost-benefit analysis for robotic-assisted Ivor Lewis esophagectomy.
Methods:
Systematic literature search regarding new technology and training methods for robotic surgery and cost analysis of intraoperative materials for hybrid and robotic-assisted Ivor Lewis esophagectomy.
Results:
Robotic-assisted esophageal surgery is complex and involves an extensive learning curve, which can be shortened with modern teaching methods. New robotic systems aim at the use of image-guided surgery and artificial intelligence. Robotic-assisted surgery of esophageal cancer is significantly more expensive that surgery without this technology.
Conclusion:
Oncological short-term and long-term benefits need to be further evaluated to support the higher cost of robotic esophageal cancer surgery.
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