دورية أكاديمية
Anatomical factor associated with thoracic procedural difficulty in robot-assisted minimally invasive esophagectomy.
| العنوان: | Anatomical factor associated with thoracic procedural difficulty in robot-assisted minimally invasive esophagectomy. |
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| المؤلفون: | Kuriyama K; Department of Gastroenterological Surgery, Cancer Institute Hospital of Japanese Foundation for Cancer Research, 3-8-31 Ariake, Koto-ku, Tokyo, 135-8550, Japan., Okamura A; Department of Gastroenterological Surgery, Cancer Institute Hospital of Japanese Foundation for Cancer Research, 3-8-31 Ariake, Koto-ku, Tokyo, 135-8550, Japan. akihiko.okamura@jfcr.or.jp., Kanamori J; Department of Gastroenterological Surgery, Cancer Institute Hospital of Japanese Foundation for Cancer Research, 3-8-31 Ariake, Koto-ku, Tokyo, 135-8550, Japan., Imamura Y; Department of Gastroenterological Surgery, Cancer Institute Hospital of Japanese Foundation for Cancer Research, 3-8-31 Ariake, Koto-ku, Tokyo, 135-8550, Japan., Tamura M; Department of Gastroenterological Surgery, Cancer Institute Hospital of Japanese Foundation for Cancer Research, 3-8-31 Ariake, Koto-ku, Tokyo, 135-8550, Japan., Takahashi N; Department of Gastroenterological Surgery, Cancer Institute Hospital of Japanese Foundation for Cancer Research, 3-8-31 Ariake, Koto-ku, Tokyo, 135-8550, Japan., Terayama M; Department of Gastroenterological Surgery, Cancer Institute Hospital of Japanese Foundation for Cancer Research, 3-8-31 Ariake, Koto-ku, Tokyo, 135-8550, Japan., Kanie Y; Department of Gastroenterological Surgery, Cancer Institute Hospital of Japanese Foundation for Cancer Research, 3-8-31 Ariake, Koto-ku, Tokyo, 135-8550, Japan., Maruyama S; Department of Gastroenterological Surgery, Cancer Institute Hospital of Japanese Foundation for Cancer Research, 3-8-31 Ariake, Koto-ku, Tokyo, 135-8550, Japan., Watanabe M; Department of Gastroenterological Surgery, Cancer Institute Hospital of Japanese Foundation for Cancer Research, 3-8-31 Ariake, Koto-ku, Tokyo, 135-8550, Japan. |
| المصدر: | Langenbeck's archives of surgery [Langenbecks Arch Surg] 2024 Jun 19; Vol. 409 (1), pp. 190. Date of Electronic Publication: 2024 Jun 19. |
| نوع المنشور: | Journal Article |
| اللغة: | English |
| بيانات الدورية: | Publisher: Springer-Verlag Country of Publication: Germany NLM ID: 9808285 Publication Model: Electronic Cited Medium: Internet ISSN: 1435-2451 (Electronic) Linking ISSN: 14352443 NLM ISO Abbreviation: Langenbecks Arch Surg Subsets: MEDLINE |
| أسماء مطبوعة: | Original Publication: Berlin : Springer-Verlag, c1998- |
| مواضيع طبية MeSH: | Esophagectomy*/methods , Robotic Surgical Procedures*/methods , Esophageal Neoplasms*/surgery , Esophageal Neoplasms*/pathology , Operative Time* , Lymph Node Excision*/methods , Thoracoscopy*/methods, Humans ; Male ; Female ; Middle Aged ; Aged ; Retrospective Studies ; Mediastinum/surgery ; Tomography, X-Ray Computed ; Minimally Invasive Surgical Procedures/methods ; Postoperative Complications/etiology ; Postoperative Complications/epidemiology ; Adult |
| مستخلص: | Background: Robotic surgical systems with full articulation of instruments, tremor filtering, and motion scaling can potentially overcome the procedural difficulties in endoscopic surgeries. However, whether robot-assisted minimally invasive esophagectomy (RAMIE) can overcome anatomical difficulties during thoracoscopic esophagectomy remains unclear. This study aimed to clarify the anatomical and clinical factors that influence the difficulty of RAMIE in the thoracic region. Methods: Forty-five patients who underwent curative-intent RAMIE with upper mediastinal lymph node dissection for esophageal cancer were included. Using preoperative computed tomography images, we calculated previously reported anatomical indices to assess the upper mediastinal narrowness and vertebral body projections in the middle thoracic region. The factors influencing thoracic operative time were then investigated. Results: During the thoracic procedure, the median operative time was 215 (124-367) min and the median blood loss was 20 (5-190) mL. Postoperatively, pneumonia, anastomotic leakage, and recurrent laryngeal nerve palsy occurred in 17.8%, 2.2%, and 6.7% of the patients, respectively. The multiple linear regression model revealed that a narrow upper mediastinum and greater blood loss during the thoracic procedure were significant factors associated with a prolonged thoracic operative time (P = 0.025 and P < 0.001, respectively). Upper mediastinal narrowing was not associated with postoperative complications. Conclusions: A narrow upper mediastinum was significantly associated with a prolonged thoracic operative time in patients with RAMIE. (© 2024. The Author(s), under exclusive licence to Springer-Verlag GmbH Germany, part of Springer Nature.) |
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| فهرسة مساهمة: | Keywords: Esophageal cancer; Esophagectomy; Minimally invasive esophagectomy; Operative time; Robot-assisted minimally invasive esophagectomy |
| تواريخ الأحداث: | Date Created: 20240619 Date Completed: 20240619 Latest Revision: 20240619 |
| رمز التحديث: | 20240619 |
| DOI: | 10.1007/s00423-024-03378-w |
| PMID: | 38896339 |
| قاعدة البيانات: | MEDLINE |
Full Text Finder | تدمد: | 1435-2451 |
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| DOI: | 10.1007/s00423-024-03378-w |