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Hybrid laparoscopic versus fully robot-assisted minimally invasive esophagectomy: an international propensity-score matched analysis of perioperative outcome
BACKGROUND: Currently, little is known regarding the optimal technique for the abdominal phase of RAMIE. The aim of this study was to investigate the outcome of robot-assisted minimally invasive esophagectomy (RAMIE) in both the abdominal and thoracic phase (full RAMIE) compared to laparoscopy durin...
Autores principales: | , , , , , , , , , , , , , , , , , , , , , , , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Springer US
2023
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10234920/ https://www.ncbi.nlm.nih.gov/pubmed/36808472 http://dx.doi.org/10.1007/s00464-023-09911-0 |
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author | Jung, Jin-On de Groot, Eline M. Kingma, B. Feike Babic, Benjamin Ruurda, Jelle P. Grimminger, Peter P. Hölzen, Jens P. Chao, Yin-Kai Haveman, Jan W. van Det, Marc J. Rouanet, Philippe Benedix, Frank Li, Hecheng Sarkaria, Inderpal van Berge Henegouwen, Mark I. van Boxel, Gijs I. Chiu, Philip Egberts, Jan-Hendrik Sallum, Rubens Immanuel, Arul Turner, Paul Low, Donald E. Hubka, Michal Perez, Daniel Strignano, Paolo Biebl, Matthias Chaudry, M. Asif Bruns, Christiane J. van Hillegersberg, Richard Fuchs, Hans F. |
author_facet | Jung, Jin-On de Groot, Eline M. Kingma, B. Feike Babic, Benjamin Ruurda, Jelle P. Grimminger, Peter P. Hölzen, Jens P. Chao, Yin-Kai Haveman, Jan W. van Det, Marc J. Rouanet, Philippe Benedix, Frank Li, Hecheng Sarkaria, Inderpal van Berge Henegouwen, Mark I. van Boxel, Gijs I. Chiu, Philip Egberts, Jan-Hendrik Sallum, Rubens Immanuel, Arul Turner, Paul Low, Donald E. Hubka, Michal Perez, Daniel Strignano, Paolo Biebl, Matthias Chaudry, M. Asif Bruns, Christiane J. van Hillegersberg, Richard Fuchs, Hans F. |
author_sort | Jung, Jin-On |
collection | PubMed |
description | BACKGROUND: Currently, little is known regarding the optimal technique for the abdominal phase of RAMIE. The aim of this study was to investigate the outcome of robot-assisted minimally invasive esophagectomy (RAMIE) in both the abdominal and thoracic phase (full RAMIE) compared to laparoscopy during the abdominal phase (hybrid laparoscopic RAMIE). METHODS: This retrospective propensity-score matched analysis of the International Upper Gastrointestinal International Robotic Association (UGIRA) database included 807 RAMIE procedures with intrathoracic anastomosis between 2017 and 2021 from 23 centers. RESULTS: After propensity-score matching, 296 hybrid laparoscopic RAMIE patients were compared to 296 full RAMIE patients. Both groups were equal regarding intraoperative blood loss (median 200 ml versus 197 ml, p = 0.6967), operational time (mean 430.3 min versus 417.7 min, p = 0.1032), conversion rate during abdominal phase (2.4% versus 1.7%, p = 0.560), radical resection (R0) rate (95.6% versus 96.3%, p = 0.8526) and total lymph node yield (mean 30.4 versus 29.5, p = 0.3834). The hybrid laparoscopic RAMIE group showed higher rates of anastomotic leakage (28.0% versus 16.6%, p = 0.001) and Clavien Dindo grade 3a or higher (45.3% versus 26.0%, p < 0.001). The length of stay on intensive care unit (median 3 days versus 2 days, p = 0.0005) and in-hospital (median 15 days versus 12 days, p < 0.0001) were longer for the hybrid laparoscopic RAMIE group. CONCLUSIONS: Hybrid laparoscopic RAMIE and full RAMIE were oncologically equivalent with a potential decrease of postoperative complications and shorter (intensive care) stay after full RAMIE. |
format | Online Article Text |
id | pubmed-10234920 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2023 |
publisher | Springer US |
record_format | MEDLINE/PubMed |
spelling | pubmed-102349202023-06-03 Hybrid laparoscopic versus fully robot-assisted minimally invasive esophagectomy: an international propensity-score matched analysis of perioperative outcome Jung, Jin-On de Groot, Eline M. Kingma, B. Feike Babic, Benjamin Ruurda, Jelle P. Grimminger, Peter P. Hölzen, Jens P. Chao, Yin-Kai Haveman, Jan W. van Det, Marc J. Rouanet, Philippe Benedix, Frank Li, Hecheng Sarkaria, Inderpal van Berge Henegouwen, Mark I. van Boxel, Gijs I. Chiu, Philip Egberts, Jan-Hendrik Sallum, Rubens Immanuel, Arul Turner, Paul Low, Donald E. Hubka, Michal Perez, Daniel Strignano, Paolo Biebl, Matthias Chaudry, M. Asif Bruns, Christiane J. van Hillegersberg, Richard Fuchs, Hans F. Surg Endosc Original Article BACKGROUND: Currently, little is known regarding the optimal technique for the abdominal phase of RAMIE. The aim of this study was to investigate the outcome of robot-assisted minimally invasive esophagectomy (RAMIE) in both the abdominal and thoracic phase (full RAMIE) compared to laparoscopy during the abdominal phase (hybrid laparoscopic RAMIE). METHODS: This retrospective propensity-score matched analysis of the International Upper Gastrointestinal International Robotic Association (UGIRA) database included 807 RAMIE procedures with intrathoracic anastomosis between 2017 and 2021 from 23 centers. RESULTS: After propensity-score matching, 296 hybrid laparoscopic RAMIE patients were compared to 296 full RAMIE patients. Both groups were equal regarding intraoperative blood loss (median 200 ml versus 197 ml, p = 0.6967), operational time (mean 430.3 min versus 417.7 min, p = 0.1032), conversion rate during abdominal phase (2.4% versus 1.7%, p = 0.560), radical resection (R0) rate (95.6% versus 96.3%, p = 0.8526) and total lymph node yield (mean 30.4 versus 29.5, p = 0.3834). The hybrid laparoscopic RAMIE group showed higher rates of anastomotic leakage (28.0% versus 16.6%, p = 0.001) and Clavien Dindo grade 3a or higher (45.3% versus 26.0%, p < 0.001). The length of stay on intensive care unit (median 3 days versus 2 days, p = 0.0005) and in-hospital (median 15 days versus 12 days, p < 0.0001) were longer for the hybrid laparoscopic RAMIE group. CONCLUSIONS: Hybrid laparoscopic RAMIE and full RAMIE were oncologically equivalent with a potential decrease of postoperative complications and shorter (intensive care) stay after full RAMIE. Springer US 2023-02-17 2023 /pmc/articles/PMC10234920/ /pubmed/36808472 http://dx.doi.org/10.1007/s00464-023-09911-0 Text en © The Author(s) 2023 https://creativecommons.org/licenses/by/4.0/Open AccessThis article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/ (https://creativecommons.org/licenses/by/4.0/) . |
spellingShingle | Original Article Jung, Jin-On de Groot, Eline M. Kingma, B. Feike Babic, Benjamin Ruurda, Jelle P. Grimminger, Peter P. Hölzen, Jens P. Chao, Yin-Kai Haveman, Jan W. van Det, Marc J. Rouanet, Philippe Benedix, Frank Li, Hecheng Sarkaria, Inderpal van Berge Henegouwen, Mark I. van Boxel, Gijs I. Chiu, Philip Egberts, Jan-Hendrik Sallum, Rubens Immanuel, Arul Turner, Paul Low, Donald E. Hubka, Michal Perez, Daniel Strignano, Paolo Biebl, Matthias Chaudry, M. Asif Bruns, Christiane J. van Hillegersberg, Richard Fuchs, Hans F. Hybrid laparoscopic versus fully robot-assisted minimally invasive esophagectomy: an international propensity-score matched analysis of perioperative outcome |
title | Hybrid laparoscopic versus fully robot-assisted minimally invasive esophagectomy: an international propensity-score matched analysis of perioperative outcome |
title_full | Hybrid laparoscopic versus fully robot-assisted minimally invasive esophagectomy: an international propensity-score matched analysis of perioperative outcome |
title_fullStr | Hybrid laparoscopic versus fully robot-assisted minimally invasive esophagectomy: an international propensity-score matched analysis of perioperative outcome |
title_full_unstemmed | Hybrid laparoscopic versus fully robot-assisted minimally invasive esophagectomy: an international propensity-score matched analysis of perioperative outcome |
title_short | Hybrid laparoscopic versus fully robot-assisted minimally invasive esophagectomy: an international propensity-score matched analysis of perioperative outcome |
title_sort | hybrid laparoscopic versus fully robot-assisted minimally invasive esophagectomy: an international propensity-score matched analysis of perioperative outcome |
topic | Original Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10234920/ https://www.ncbi.nlm.nih.gov/pubmed/36808472 http://dx.doi.org/10.1007/s00464-023-09911-0 |
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