Journal of Chest Surgery

The Korean Society for Thoracic and Cardiovascular Surgery (대한심장혈관흉부외과학회)
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First Case of Esophagectomy Using a Robotic Single-Port System for Laryngo-Esophagectomy

  • Park, Seong Yong (Department of Thoracic and Cardiovascular Surgery, Yonsei University College of Medicine)
  • Received : 2021.09.08
  • Accepted : 2021.11.16
  • Published : 2022.04.05
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Abstract

A 58-year-old female patient was diagnosed with hypopharyngeal cancer with extension to the invasion of the upper esophagus. After 2 cycles of durvalumab as neoadjuvant therapy, total laryngo-esophagectomy using a single-port (SP) system via a subcostal incision was done. The operation was completed within 41 minutes, and the patient recovered without esophagectomy-related complications. The patient received total laryngectomy and esophagectomy using a robotic SP system via a 3-cm-long subcostal incision and gastric pull-up under laparotomy. During the postoperative period, the patient suffered from anastomotic leakage, but recovered with vacuum therapy. Here, we report the first successful human case of esophagectomy using an SP system.

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References

  1. Booka E, Takeuchi H, Nishi T, et al. The impact of postoperative complications on survivals after esophagectomy for esophageal cancer. Medicine (Baltimore) 2015;94:e1369. https://doi.org/10.1097/MD.0000000000001369
  2. Takeuchi H, Miyata H, Gotoh M, et al. A risk model for esophagectomy using data of 5354 patients included in a Japanese nationwide web-based database. Ann Surg 2014;260:259-66. https://doi.org/10.1097/sla.0000000000000644
  3. Lee JH, Hong JI, Kim HK. Robot-assisted thoracic surgery in nonsmall cell lung cancer. J Chest Surg 2021;54:266-78. https://doi.org/10.5090/jcs.21.070
  4. Biere SS, van Berge Henegouwen MI, Maas KW, et al. Minimally invasive versus open oesophagectomy for patients with oesophageal cancer: a multicentre, open-label, randomised controlled trial. Lancet 2012;379:1887-92. https://doi.org/10.1016/S0140-6736(12)60516-9
  5. Chiu PW, Ng SS, Au SK. Transcervical minimally invasive esophagectomy using da Vinci(R) SP(TM) Surgical System: a feasibility study in cadaveric model. Surg Endosc 2019;33:1683-86. https://doi.org/10.1007/s00464-018-06628-3
  6. Park SY, Stein H, Heo SY. Preclinical, cadaveric study of the application of da Vinci single port system in thoracic surgery. J Thorac Dis 2019;11:5586-91. https://doi.org/10.21037/jtd.2019.11.47