Esophageal cancer is the eighth most frequent cancer in the world, and surgical resection remains the gold standard, not just for the best chance of cure, but also for the best palliation for dysphagia. Esophagectomy is a difficult procedure with high rates of morbidity and mortality in Western countries, with morbidity and mortality rates of 23–50% and 2–8%, respectively. For the time being, there are no gold standard techniques for esophagectomy. Several factors determine the procedure used, the most important of which are the tumor's location and the surgeon's experience. Minimally invasive esophagectomy (MIE) has been proven to lower complication rates while having the same oncological outcome as open esophagectomy in high-volume centres. In addition, The application of robotic technology to MIE is still relatively new, but it is gaining traction. RAMIE (robotic aided minimally invasive esophagectomy) is a safe and successful surgery that produces similar short-term results as traditional MIE. Randomized studies are needed to evaluate if there is any benefit to using the robotic approach. The esophagectomy surgery is a time-consuming and difficult procedure.
Author (S) Details
Marco Taurchini
Unit of Thoracic Surgery, Casa Sollievo della Sofferenza Hospital, IRCCS, San Giovanni Rotondo, Italy.
Antonello Cuttitta
Unit of Thoracic Surgery, Casa Sollievo della Sofferenza Hospital, IRCCS, San Giovanni Rotondo, Italy.
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