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conferenceseries
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Volume 7, Issue 7 (Suppl)
J Gastrointest Dig Syst
ISSN: 2161-069X JGDS, an open access journal
Gastroenterologists 2017
December 14-15, 2017
December 14-15, 2017 Dubai, UAE
11
th
World
Gastroenterologists Summit
Robot-assisted transmediastinal radical esophagectomy
Yasuyuki Seto
University of Tokyo, Japan
Background:
Surgical treatment is still main stream for esophageal cancer. In radical esophagectomy, three fields’ lymph
node dissection, cervical, mediastinal and abdominal regions, is standard procedure. Frequent complications after radical
esophagectomy are well known. Japanese nation-wide database (National Clinical Database) shows that minimally invasive
esophagectomy (MIE) as compared to the conventional open procedure, could not reduce the development of postoperative
pneumonia. MIE was shown to fail to decrease the morbidity. Therefore, the prevention of post-operative complications,
especially pneumonia, is most important issue yet.
Aim & Methods:
With the aim of achieving lymph node dissection equivalent to the conventional procedure (open or VATS)
and decreasing the development of post-operative pulmonary complications simultaneously, we developed the novel procedure,
transmediastinal (non-transthoracic) radical esophagectomy by using da Vinci. It is the combination of transhiatal robotic
manipulation for the middle and lower mediastinum and a video-assisted trans-cervical procedure for the upper mediastinum.
Results:
That procedure has been performed in 68 cases with esophageal cancer, to date. Conversion to open thoracotomy
was necessary in 1 case. No postoperative pneumonia occurred among 67 cases and the number of harvested mediastinal
lymph nodes was equal to the conventional open surgery. Furthermore, the QOLs after surgery were observed to be better as
compared to the conventional group.
Conclusion:
Robot-assisted transmediastinal (non-transthoracic) radical esophagectomy offers a new radical procedure for
esophageal cancer.
ulyneto@osite.com.brJ Gastrointest Dig Syst 2017, 7:7 (Suppl)
DOI: 10.4172/2161-069X-C1-062