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Related Experiment Video

Updated: Sep 5, 2025

Robotic Myotomy and Partial Fundoplication for Achalasia
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Using the da Vinci X® - System for Esophageal Surgery.

Juri Bergmann1, Barbara Lehmann-Dorl2, Lars Witt2

  • 1General-, Visceral and Vascular Surgery, KRH Klinikum Robert Koch, Gehrden, Germany.

JSLS : Journal of the Society of Laparoendoscopic Surgeons
|July 11, 2022
PubMed
Summary

Robotic esophageal surgery using the da Vinci® X system is feasible for Ivor-Lewis esophagectomies. This study details initial experiences and technical considerations for this minimally invasive approach in esophageal adenocarcinoma.

Keywords:
Esophageal adenocarcinomaRobotic Assisted Minimally Invasive Esophagectomy (RAMIE)

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Area of Science:

  • Minimally Invasive Surgery
  • Surgical Robotics
  • Gastrointestinal Oncology

Background:

  • Robotic esophageal surgery adoption is increasing, with most studies using da Vinci® SI or Xi systems.
  • Limited data exists for the da Vinci® X system in esophageal surgery due to perceived limitations in multiquadrant access.

Observation:

  • This paper reports the initial experience with 16 robotic-assisted minimally invasive esophagectomies (RAMIE) using the da Vinci® X system.
  • The da Vinci® X system was implemented in 2019, integrated into a broader robotic surgery program.
  • Standardized procedures, including fluorescence angiography (Firefly®), were established, with the first two cases proctored.

Findings:

  • The study details technical aspects specific to the da Vinci® X system and operating room setup for Ivor-Lewis esophagectomies.
  • Short-term outcomes of these 16 procedures are discussed, providing early insights into the system's performance.

Implications:

  • This work contributes initial data on the utility of the da Vinci® X system for complex procedures like robotic Ivor-Lewis esophagectomy.
  • Findings may inform surgeons considering the da Vinci® X system for esophageal cancer surgery and guide future research.