Invited Lecture(JSGS)
Sat. November 7th   9:00 - 9:30   Room 8: Portopia Hotel Main Building Kairaku 1+2
Invited Lecture13
 Robot assisted minimally invasive esophagectomy for esophageal cancer
Peter Grimminger
University Medical Center Mainz
Currently four surgical techniques are performed for transthoracic esophagectomy (open esophagectomy (OE), hybrid esophagectomy (HE), conventional minimally invasive esophagectomy (MIE) and robot assisted minimally invasive esophagectomy (RAMIE).
Between January 2008 and August 2019 422 consecutive patients (OE (n=107), HE (n=101), MIE (n=91) and RAMIE (n=123)) were evaluated.
Uncomplicated postoperative course was observed in 27% (OE), 34% (HE), 53% (MIE), and 63% (RAMIE) of patients (p<0.001). Pulmonary complications were observed in 57% (OE), 44% (HE), 28% (MIE), and 21% (RAMIE) of patients (p<0.001). Cardiac complications were present in 25% (OE), 23% (HE), 9% (MIE), and 11% (RAMIE) of patients (p<0.001). MIE and RAMIE were associated with fewer wound infections (p<0.001). Median hospital stay after MIE (13 days) and RAMIE (12 days) was shorter compared to OE (20 days) and HE (17 days) (p<0.001). A median number of 21 (OE), 23 (HE), 23 (MIE), and 31 (RAMIE) lymph nodes was harvested (p<0.001).
Conclusion:
We conclude that total minimally invasive esophagectomy (MIE, RAMIE) is associated with a lower overall, pulmonary, cardiac and wound complication rate as well as a shorter hospital stay compared to open or hybrid approach (OE, HE). RAMIE resulted in higher lymph node harvest than MIE.
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