Kingma, B. Feike, Grimminger, Peter P., van der Sluis, Pieter C., van Det, Marc J., Kouwenhoven, Ewout A., Chao, Yin-Kai, Tsai, Chun-Yi, Fuchs, Hans F., Bruns, Christiane J., Sarkaria, Inderpal S., Luketich, James D., Haveman, Jan W., van Etten, Boudewijn, Chiu, Philip W., Chan, Shannon M., Rouanet, Philippe, Mourregot, Anne, Hoelzen, Jens-Peter, Sallum, Rubens A., Cecconello, Ivan ORCID: 0000-0002-3535-4170, Egberts, Jan-Hendrik, Benedix, Frank, Henegouwen, Mark I. van Berge, Gisbertz, Suzanne S., Perez, Daniel ORCID: 0000-0002-3154-7311, Jansen, Kristina, Hubka, Michal, Low, Donald E., Biebl, Matthias ORCID: 0000-0002-3690-8614, Pratschke, Johann, Turner, Paul, Pursnani, Kish, Chaudry, Asif, Smith, Myles, Mazza, Elena, Strignano, Paolo, Ruurda, Jelle P. and van Hillegersberg, Richard (2022). Worldwide Techniques and Outcomes in Robot-assisted Minimally Invasive Esophagectomy (RAMIE) Results From the Multicenter International Registry. Ann. Surg., 276 (5). S. E386 - 7. PHILADELPHIA: LIPPINCOTT WILLIAMS & WILKINS. ISSN 1528-1140

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Abstract

Objective: This international multicenter study by the Upper GI International Robotic Association aimed to gain insight in current techniques and outcomes of RAMIE worldwide. Background: Current evidence for RAMIE originates from single-center studies, which may not be generalizable to the international multicenter experience. Methods: Twenty centers from Europe, Asia, North-America, and South-America participated from 2016 to 2019. Main endpoints included the surgical techniques, clinical outcomes, and early oncological results of ramie. Results: A total of 856 patients undergoing transthoracic RAMIE were included. Robotic surgery was applied for both the thoracic and abdominal phase (45%), only the thoracic phase (49%), or only the abdominal phase (6%). In most cases, the mediastinal lymphadenectomy included the low paraesophageal nodes (n=815, 95%), subcarinal nodes (n = 774, 90%), and paratracheal nodes (n = 537, 63%). When paratracheal lymphadenectomy was performed during an Ivor Lewis or a McKeown RAMIE procedure, recurrent laryngeal nerve injury occurred in 3% and 11% of patients, respectively. Circular stapled (52%), hand-sewn (30%), and linear stapled (18%) anastomotic techniques were used. In Ivor Lewis RAMIE, robot-assisted hand-sewing showed the highest anastomotic leakage rate (33%), while lower rates were observed with circular stapling (17%) and linear stapling (15%). In McKeown RAMIE, a hand-sewn anastomotic technique showed the highest leakage rate (27%), followed by linear stapling (18%) and circular stapling (6%). Conclusion: This study is the first to provide an overview of the current techniques and outcomes of transthoracic RAMIE worldwide. Although these results indicate high quality of the procedure, the optimal approach should be further defined.

Item Type: Journal Article
Creators:
CreatorsEmailORCIDORCID Put Code
Kingma, B. FeikeUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Grimminger, Peter P.UNSPECIFIEDUNSPECIFIEDUNSPECIFIED
van der Sluis, Pieter C.UNSPECIFIEDUNSPECIFIEDUNSPECIFIED
van Det, Marc J.UNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Kouwenhoven, Ewout A.UNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Chao, Yin-KaiUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Tsai, Chun-YiUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Fuchs, Hans F.UNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Bruns, Christiane J.UNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Sarkaria, Inderpal S.UNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Luketich, James D.UNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Haveman, Jan W.UNSPECIFIEDUNSPECIFIEDUNSPECIFIED
van Etten, BoudewijnUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Chiu, Philip W.UNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Chan, Shannon M.UNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Rouanet, PhilippeUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Mourregot, AnneUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Hoelzen, Jens-PeterUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Sallum, Rubens A.UNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Cecconello, IvanUNSPECIFIEDorcid.org/0000-0002-3535-4170UNSPECIFIED
Egberts, Jan-HendrikUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Benedix, FrankUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Henegouwen, Mark I. van BergeUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Gisbertz, Suzanne S.UNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Perez, DanielUNSPECIFIEDorcid.org/0000-0002-3154-7311UNSPECIFIED
Jansen, KristinaUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Hubka, MichalUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Low, Donald E.UNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Biebl, MatthiasUNSPECIFIEDorcid.org/0000-0002-3690-8614UNSPECIFIED
Pratschke, JohannUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Turner, PaulUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Pursnani, KishUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Chaudry, AsifUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Smith, MylesUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Mazza, ElenaUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Strignano, PaoloUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Ruurda, Jelle P.UNSPECIFIEDUNSPECIFIEDUNSPECIFIED
van Hillegersberg, RichardUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
URN: urn:nbn:de:hbz:38-696950
DOI: 10.1097/SLA.0000000000004550
Journal or Publication Title: Ann. Surg.
Volume: 276
Number: 5
Page Range: S. E386 - 7
Date: 2022
Publisher: LIPPINCOTT WILLIAMS & WILKINS
Place of Publication: PHILADELPHIA
ISSN: 1528-1140
Language: English
Faculty: Unspecified
Divisions: Unspecified
Subjects: no entry
Uncontrolled Keywords:
KeywordsLanguage
SHORT-TERM OUTCOMES; LEARNING-CURVE; TRANSTHORACIC ESOPHAGECTOMY; POSTOPERATIVE OUTCOMES; CANCER; RESECTION; ADENOCARCINOMAMultiple languages
SurgeryMultiple languages
URI: http://kups.ub.uni-koeln.de/id/eprint/69695

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