| International Session (Symposium) 6 (JSGS・JSGE・JGES) |
| Fri. November 2nd 14:40 - 17:00 Room 13: Kobe International Conference Center International Conference Room |
| Robotic Esophagectomy -the current status and future perspectives- | |||
| Masaya Nakauchi1, Kazuki Inaba1, Ichiro Uyama1 | |||
| 1Department of Surgery, Fujita Health University | |||
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| Robotic Esophagectomy (RE) for esophageal cancer had been covered by the national health insurance from this April. Approximately 300 da Vinci surgical systems (DVSS) have been installed in Japan, and robotic surgery using DVSS has been rapidly increasing. However, RE is not wide-spread because of its technical demand and complexity of set-up. We started RE for patients with esophageal cancer in 2009, and have demonstrated the potential advantages of DVSS in possibly reducing recurrent laryngeal nerve palsy after esophagectomy. Recently, we have adopted new technique and approach to RE. The most common procedure in RE is transthoracic approach in prone or semi-prone position. We have adopted transmediatinal approach to resection of the thoracic esophagus and nodal dissection, expecting more meticulous nodal dissection and less pulmonary complications compared to conventional transthoracic approach. Also, NIM response system monitoring the recurrent nerve function during the operation was adopted and adapted to the DVSS instruments. This system seems to be quite useful to identify and preserve the recurrent nerve. In this presentation, we present the current status and future perspectives on RE for esophageal cancer based on our experience including the recent efforts. |
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Index Term 1: esophageal cancer Index Term 2: robotic esophagectomy |
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