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Related Experiment Video

Updated: May 13, 2025

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Single-Port Robot-Assisted Minimally Invasive Esophagectomy Using the Single-Port Robotic System via the Subcostal

Jun Hee Lee1, Byung Mo Gu1, Hyeong Hun Song2

  • 1Department of Thoracic and Cardiovascular Surgery, Guro Hospital, Korea University College of Medicine, Seoul 08308, Republic of Korea.

Cancers
|April 14, 2025
PubMed
Summary

Single-port robot-assisted minimally invasive esophagectomy (SRAMIE) shows faster recovery and less pain compared to video-assisted thoracoscopic esophagectomy (VAE). This approach is a feasible alternative to conventional minimally invasive esophagectomy (MIE).

Keywords:
da Vinci single-port robotic systemesophageal neoplasmesophagectomyrobot-assisted minimally invasive esophagectomysingle port

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Last Updated: May 13, 2025

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Area of Science:

  • Thoracic Surgery
  • Surgical Robotics
  • Minimally Invasive Procedures

Background:

  • Robot-assisted minimally invasive esophagectomy (RAMIE) is increasingly popular.
  • RAMIE offers advantages over conventional minimally invasive esophagectomy (MIE) in operative time and lymph node dissection.
  • This study evaluates single-port RAMIE (SRAMIE) via a subcostal approach.

Purpose of the Study:

  • To compare perioperative outcomes of SRAMIE with multi-port RAMIE (MRAMIE) and video-assisted thoracoscopic esophagectomy (VAE).
  • To assess the feasibility and benefits of the subcostal approach in SRAMIE.

Main Methods:

  • Retrospective analysis of 17 SRAMIE, 13 MRAMIE, and 23 VAE patients.
  • Primary outcome: postoperative complications.
  • Secondary outcomes: chest tube duration, hospital stay, pain, and 30-day mortality.

Main Results:

  • SRAMIE had significantly shorter chest tube duration and hospital stays compared to VAE.
  • SRAMIE demonstrated significantly lower postoperative pain than VAE.
  • No significant differences in operative time, lymph node count, or complication rates among groups.

Conclusions:

  • SRAMIE is a feasible approach with advantages in recovery and pain management over VAE.
  • SRAMIE shows comparable perioperative outcomes to MIE, suggesting it as a viable alternative.
  • Further large-scale studies are warranted to confirm these findings.