Abstract
Background: Robot-assisted surgery for esophageal cancer is increasingly applied. Despite this upsurge, the preferential technique to create a robot-assisted intrathoracic anastomosis has not been established. Data sources: Bibliographic databases were searched to identify studies that performed a robot-assisted Ivor Lewis esophagectomy and described the technical details of the anastomotic technique. Out of 1701 articles, 16 studies were included for systematic review. Conclusions: This review shows that all technique used to create a thoracoscopic anastomosis can be adopted to robotic surgery. Techniques can be divided into three categories: robotic hand-sewn, circular stapling or linear stapling and robotic hand-sewn closure of the stapler defect. With limited robotic experience, circular stapling might be the preferred technique, however requires a well-trained bedside assistant. The linear stapling technique or hand-sewn technique are more challenging but enable experienced robotic surgeons to perform a controlled anastomosis without bedside support.
Original language | English |
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Pages (from-to) | 62-68 |
Number of pages | 7 |
Journal | American Journal of Surgery |
Volume | 220 |
Issue number | 1 |
Early online date | 26 Nov 2019 |
DOIs | |
Publication status | Published - 1 Jul 2020 |
Keywords
- Anastomotic leakage
- Esophagectomy
- Intrathoracic anastomosis
- Ivor lewis
- Robotic