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Hinotori™ robotic esophagectomy: a feasibility cadaver study
Vladimir J Lozanovski1, Edin Hadzijusufovic1, Christoph Wandhoefer2
1University Medical Center of the Johannes Gutenberg-University Mainz, Department of General, Visceral and Transplantation Surgery, Mainz, Germany.
Summary
The hinotori™ robot system shows promise for minimally invasive esophagectomy in preclinical cadaver studies. It enabled precise esophageal resection and lymphadenectomy, suggesting potential for improved surgical outcomes.
Area of Science:
- Robotic Surgery
- Surgical Oncology
- Minimally Invasive Procedures
Background:
- Esophagectomy is a complex procedure often requiring open surgery.
- Advancements in robotic technology offer potential for less invasive surgical approaches.
- Feasibility of new robotic systems for complex oncologic resections needs evaluation.
Purpose of the Study:
- To assess the feasibility of the hinotori™ robot system for esophagectomy.
- To evaluate the system's performance in cadaver models.
- To identify unique features contributing to procedural success.
Main Methods:
- Preclinical feasibility study using three human cadaver models.
- Utilization of the hinotori™ robot system for esophageal mobilization and resection.
- Standard robot-specific patient positioning and trocar placement (posterior axillary line).
Main Results:
- Successful esophageal mobilization and resection using the hinotori™ system.
- Mean thoracic procedure time of 57 minutes.
- Precise dissection and radical lymphadenectomy achieved without arm collision.
Conclusions:
- The hinotori™ robot system demonstrates potential for advancing esophageal surgery.
- System versatility, ergonomic design, and docking-free trocars facilitate complex dissection.
- Further clinical studies are needed to confirm reproducibility and clinical utility.

