Short-term Outcomes of Robot-assisted Minimally Invasive Esophagectomy Compared With Thoracoscopic or Transthoracic Esophagectomy
Short-term Outcomes of Robot-assisted Minimally Invasive Esophagectomy Compared With Thoracoscopic or Transthoracic Esophagectomy
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DOI：
10.21873/anticanres.15254
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发表时间：
2021-09-01
影响因子：
2
通讯作者：
Takeuchi, Hiroya
中科院分区：
文献类型：
--
作者：
Booka, Eisuke;Kikuchi, Hirotoshi;Takeuchi, Hiroya
背景/目的：目前还没有在一家机构中比较开放式食管切除术（OE）、视频辅助胸外科手术（VATS）和机器人辅助微创食管切除术（RAMIE）的研究。患者和方法：本研究纳入了272例接受食管次全切除术的患者，分为三组：OE（n=110）、VATS（n=127）和RAMIE（n=35）组。此外，还比较了短期结果。结果：RAMIE组的总体并发症（CD>II）明显少于OE组和VATS组。喉返神经麻痹（CD>II）在RAMIE组中显著低于OE组（p=0.026），并倾向于低于VATS组（p=0.059）。RAMIE组的肺不张（CD>I和II）、胸腔积液（CD>I和II）、心律失常（CD>II）和吞咽困难（CD>II）明显少于OE组和VATS组。结论：与OE和VATS相比，RAMIE减少了食管切除术后的总体术后并发症。
Background/Aim: There is no study comparing open esophagectomy (OE), video-assisted thoracic surgery (VATS), and robot-assisted minimally invasive esophagectomy (RAMIE) in a single institution. Patients and Methods: This study included 272 patients who underwent subtotal esophagectomy divided into three groups: OE (n=110), VATS (n=127), and RAMIE (n=35) groups. Moreover, short-term outcomes were compared. Results: Overall complications (CD>II) were significantly less in the RAMIE than the OE and VATS groups. Recurrent laryngeal nerve paralysis (CD>II) was significantly lower in the RAMIE than the OE group (p=0.026) and tended to be lower than that in the VATS group (p=0.059). The RAMIE group had significantly less atelectasis (CD>I and II), pleural effusion (CD>I and II), arrhythmia (CD>II), and dysphagia (CD>II), than both the OE and VATS groups. Conclusion: RAMIE reduced overall postoperative complications after esophagectomy compared with both OE and VATS.