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Feasibility of transthoracic esophagectomy with a next-generation surgical robot

Robot-assisted minimal access surgery (MAS), compared with conventional MAS, has shown a number of benefits across several therapeutic indications but its use for transthoracic esophagectomy (TTE) requires further evaluation. Here, we report the first-in-human series of major esophageal resections p...

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Autores principales: Puntambekar, Shailesh, Bharambe, Suyog, Pawar, Swapnil, Chitale, Mihir, Panse, Mangesh
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Nature Publishing Group UK 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9606257/
https://www.ncbi.nlm.nih.gov/pubmed/36289257
http://dx.doi.org/10.1038/s41598-022-21323-z
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author Puntambekar, Shailesh
Bharambe, Suyog
Pawar, Swapnil
Chitale, Mihir
Panse, Mangesh
author_facet Puntambekar, Shailesh
Bharambe, Suyog
Pawar, Swapnil
Chitale, Mihir
Panse, Mangesh
author_sort Puntambekar, Shailesh
collection PubMed
description Robot-assisted minimal access surgery (MAS), compared with conventional MAS, has shown a number of benefits across several therapeutic indications but its use for transthoracic esophagectomy (TTE) requires further evaluation. Here, we report the first-in-human series of major esophageal resections performed using a next-generation tele-operated robotic surgical system in a single center. Robot-assisted TTE was performed using the Versius Surgical System by a single surgeon to assess the robotic system’s ability to achieve tumor clearance (measured by R0 resection rates) whilst reducing anastomotic leakage rates. Intra- and post-operative outcomes such as median operative time, length of hospitalization, intra-operative blood loss, and the number of complications were also assessed. Fifty-seven patients underwent robot-assisted TTE between August 2019 and June 2021. All procedures were completed successfully with no unplanned conversions to alternative surgical methods. Estimated blood loss was minimal, and no adverse events, complications or deaths were reported. Our experience with the Versius Surgical System demonstrates its safe adoption and implementation for TTE.
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spelling pubmed-96062572022-10-28 Feasibility of transthoracic esophagectomy with a next-generation surgical robot Puntambekar, Shailesh Bharambe, Suyog Pawar, Swapnil Chitale, Mihir Panse, Mangesh Sci Rep Article Robot-assisted minimal access surgery (MAS), compared with conventional MAS, has shown a number of benefits across several therapeutic indications but its use for transthoracic esophagectomy (TTE) requires further evaluation. Here, we report the first-in-human series of major esophageal resections performed using a next-generation tele-operated robotic surgical system in a single center. Robot-assisted TTE was performed using the Versius Surgical System by a single surgeon to assess the robotic system’s ability to achieve tumor clearance (measured by R0 resection rates) whilst reducing anastomotic leakage rates. Intra- and post-operative outcomes such as median operative time, length of hospitalization, intra-operative blood loss, and the number of complications were also assessed. Fifty-seven patients underwent robot-assisted TTE between August 2019 and June 2021. All procedures were completed successfully with no unplanned conversions to alternative surgical methods. Estimated blood loss was minimal, and no adverse events, complications or deaths were reported. Our experience with the Versius Surgical System demonstrates its safe adoption and implementation for TTE. Nature Publishing Group UK 2022-10-26 /pmc/articles/PMC9606257/ /pubmed/36289257 http://dx.doi.org/10.1038/s41598-022-21323-z Text en © The Author(s) 2022 https://creativecommons.org/licenses/by/4.0/Open Access This 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 Article
Puntambekar, Shailesh
Bharambe, Suyog
Pawar, Swapnil
Chitale, Mihir
Panse, Mangesh
Feasibility of transthoracic esophagectomy with a next-generation surgical robot
title Feasibility of transthoracic esophagectomy with a next-generation surgical robot
title_full Feasibility of transthoracic esophagectomy with a next-generation surgical robot
title_fullStr Feasibility of transthoracic esophagectomy with a next-generation surgical robot
title_full_unstemmed Feasibility of transthoracic esophagectomy with a next-generation surgical robot
title_short Feasibility of transthoracic esophagectomy with a next-generation surgical robot
title_sort feasibility of transthoracic esophagectomy with a next-generation surgical robot
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9606257/
https://www.ncbi.nlm.nih.gov/pubmed/36289257
http://dx.doi.org/10.1038/s41598-022-21323-z
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