A technique of esophagectomy without thoracotomy using a stripper with limited dissection of the mediastinum has been applied to 48 patients: neoplasia in 41 (squamous-cell carcinoma of the esophagus: 34, carcinoma of the gastric cardia: 5, pharyngeal carcinoma: 2) and non-malignant pathology in 7 (2 caustic necroses, 2 ruptured esophagus, 2 anastomotic leakages after gastro-esophageal resection, 1 caustic stenosis). There were 3 post-operative deaths. The best indications of this procedure are extended tumors of the lower esophagus in poor-risk patients, and perhaps superficial carcinomas of the esophagus whatever the site. The usefulness of this technique in such situations as perforations and mediastinitis is emphasized.
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Article Synopsis
- - RAMIE-LLDP, a method of robot-assisted minimally invasive surgery for esophageal cancer, is gaining popularity and offers similar advantages to open thoracotomy, especially in emergency situations, while also serving as an educational tool for traditional surgical techniques.
- - The study included 64 patients over a four-year period, reporting mean surgery and console times of 254 minutes and 225 minutes, respectively, with low blood loss and a manageable rate of postoperative complications.
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