Technical details of the abdominal part during full robotic-assisted minimally invasive esophagectomy
Felix Berlth, Carolina Mann, Eren Uzun, Evangelos Tagkalos, Edin Hadzijusufoviç, Richard van Hillegersberg, Hecheng Li, Jan Egberts, Hauke Lang, Peter Grimminger
Abstract
The full robotic-assisted minimally invasive esophagectomy (RAMIE) is an upcoming approach in the treatment of esophageal and junctional cancer. Potential benefits are seen in angulated precise maneuvers in the abdominal part as well as in the thoracic part, but due to the novelty of this approach the optimal setting of the trocars, the instruments and the operating setting is still under debate. Hereafter, we present a technical description of the 'Mainz technique' of the abdominal part of RAMIE carried out as Ivor Lewis procedure. Postoperative complication rate and duration of the abdominal part of 100 consecutive patients from University Medical Center in Mainz are illustrated. In addition, the abdominal phase of the full RAMIE is discussed in general.