Universität zu Köln

Grimminger, P. P. and Fuchs, H. F. (2017). Minimally invasive and robotic-assisted surgical management of upper gastrointestinal cancer. Chirurg, 88 (12). S. 1017 - 1024. NEW YORK: SPRINGER. ISSN 1433-0385

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Abstract

Total minimally invasive upper gastrointestinal resections are currently mainly performed in centers. The advantages include reduction of operative trauma, magnified enlargement of the operation field and the resulting improvement in operative precision. Robotic-assisted minimally invasive esophagectomy (RAMIE) and laparoscopic/thoracoscopic minimally invasive esophagectomy (MIE) are currently the most commonly performed strategies for esophageal cancer. Laparoscopic (MIG) and robotic-assisted gastrectomy (RAG) are the equivalent procedures for gastric cancer. Due to the relatively low number of reported cases, no definitive statement regarding superiority of these procedures compared to standard open or hybrid procedures can be made; however, there is mounting evidence from high-volume centers in which these procedures are routinely performed that there might be an advantage regarding perioperative morbidity. All of the four procedures described are provided at our high-volume centers in a standardized manner and we are convinced of the benefits of these minimally invasive techniques with respect to morbidity compared to open and hybrid techniques. The additional costs of this technology have to be off-set against a possible reduction of morbidity, reduced cost for personnel and new operative options, such as real-time fluoroscopy.

Item Type:	Journal Article
Creators:	Creators Email ORCID ORCID Put Code Grimminger, P. P. UNSPECIFIED UNSPECIFIED UNSPECIFIED Fuchs, H. F. UNSPECIFIED UNSPECIFIED UNSPECIFIED
URN:	urn:nbn:de:hbz:38-209316
DOI:	10.1007/s00104-017-0522-0
Journal or Publication Title:	Chirurg
Volume:	88
Number:	12
Page Range:	S. 1017 - 1024
Date:	2017
Publisher:	SPRINGER
Place of Publication:	NEW YORK
ISSN:	1433-0385
Language:	German
Faculty:	Unspecified
Divisions:	Unspecified
Subjects:	no entry
Uncontrolled Keywords:	Keywords Language ESOPHAGEAL CANCER; GASTRIC-CANCER; TRANSHIATAL ESOPHAGECTOMY; LAPAROSCOPIC GASTRECTOMY; CONTROLLED-TRIAL; OPEN-LABEL; SURGERY; MULTICENTER; METAANALYSIS; EXPERIENCE Multiple languages Surgery Multiple languages
Refereed:	Yes
URI:	http://kups.ub.uni-koeln.de/id/eprint/20931