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Multicenter Experience in Robot-Assisted Minimally Invasive Esophagectomy - a Comparison of Hybrid and Totally Robot-Assisted Techniques

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Multicenter Experience in Robot-Assisted Minimally Invasive Esophagectomy - a Comparison of Hybrid and Totally Robot-Assisted Techniques. / Grimminger, Peter P; Staubitz, Julia I; Perez, Daniel; Ghadban, Tarik; Reeh, Matthias; Scognamiglio, Pasquale; Izbicki, Jakob R; Biebl, Matthias; Fuchs, Hans; Bruns, Christiane J; Lang, Hauke; Becker, Thomas; Egberts, Jan-Hendrik.

in: J GASTROINTEST SURG, Jahrgang 25, Nr. 10, 10.2021, S. 2463-2469.

Publikationen: SCORING: Beitrag in Fachzeitschrift/Zeitung › SCORING: Zeitschriftenaufsatz › Forschung › Begutachtung

Harvard

Grimminger, PP, Staubitz, JI, Perez, D, Ghadban, T, Reeh, M, Scognamiglio, P, Izbicki, JR, Biebl, M, Fuchs, H, Bruns, CJ, Lang, H, Becker, T & Egberts, J-H 2021, 'Multicenter Experience in Robot-Assisted Minimally Invasive Esophagectomy - a Comparison of Hybrid and Totally Robot-Assisted Techniques', J GASTROINTEST SURG, Jg. 25, Nr. 10, S. 2463-2469. https://doi.org/10.1007/s11605-021-05044-8

APA

Grimminger, P. P., Staubitz, J. I., Perez, D., Ghadban, T., Reeh, M., Scognamiglio, P., Izbicki, J. R., Biebl, M., Fuchs, H., Bruns, C. J., Lang, H., Becker, T., & Egberts, J-H. (2021). Multicenter Experience in Robot-Assisted Minimally Invasive Esophagectomy - a Comparison of Hybrid and Totally Robot-Assisted Techniques. J GASTROINTEST SURG, 25(10), 2463-2469. https://doi.org/10.1007/s11605-021-05044-8

Vancouver

Grimminger PP, Staubitz JI, Perez D, Ghadban T, Reeh M, Scognamiglio P et al. Multicenter Experience in Robot-Assisted Minimally Invasive Esophagectomy - a Comparison of Hybrid and Totally Robot-Assisted Techniques. J GASTROINTEST SURG. 2021 Okt;25(10):2463-2469. https://doi.org/10.1007/s11605-021-05044-8

Bibtex

@article{547abafeafcd4928b265741a96198522,
title = "Multicenter Experience in Robot-Assisted Minimally Invasive Esophagectomy - a Comparison of Hybrid and Totally Robot-Assisted Techniques",
abstract = "BACKGROUND: Oncological esophageal surgery has evolved significantly in the last decades. From open esophagectomy over (hybrid) minimally invasive surgery, nowadays, robot-assisted minimally invasive esophagectomy (RAMIE) approaches are applied. Current techniques require an analysis of possible advantages and disadvantages indicating the direction towards a novel gold standard.METHODS: Robot-assisted Ivor Lewis esophagectomies, performed in the period from April 2017 to June 2019 in five German centers (Berlin, Cologne, Hamburg, Kiel, Mainz), were included in this study. Pre-, intra-, and postoperative parameters were assessed. Cases were grouped for hybrid (H-RAMIE) versus totally robot-assisted (T-RAMIE) approaches. Postoperative parameters and complications were compared using risk ratios.RESULTS: A total of 175 operations were performed as T-RAMIE and 67 as H-RAMIE. Patient age (median age 62 years) and sex (83.1% male) were similarly distributed in both groups. Median duration of esophagectomy was significantly lower in the T-RAMIE group (385 versus 427 min, p < 0.001). The risks of {"}overall morbidity{"} (32.0 versus 47.8%; risk ratio [RR], 95% confidence interval (CI): 1.5, 1.1-2.1; p = 0.026), {"}anastomotic leak{"} (10.3 versus 22.4%; RR, CI: 2.2, 1.2-4.1; p = 0.020), and {"}respiratory failure{"} (1.1 versus 7.5%; RR, CI: 6.5, 1.3-32.9; p = 0.019) were significantly higher in case of H-RAMIE.CONCLUSIONS: In the five participating German centers, T-RAMIE was the preferred procedure (72.3% of operations). In comparison to H-RAMIE, T-RAMIE was associated with a significantly reduced risk of postoperative morbidity, anastomotic leak, and respiratory failure as well as a significantly reduced time necessary for esophagectomy.",
author = "Grimminger, {Peter P} and Staubitz, {Julia I} and Daniel Perez and Tarik Ghadban and Matthias Reeh and Pasquale Scognamiglio and Izbicki, {Jakob R} and Matthias Biebl and Hans Fuchs and Bruns, {Christiane J} and Hauke Lang and Thomas Becker and Jan-Hendrik Egberts",
note = "{\textcopyright} 2021. The Author(s).",
year = "2021",
month = oct,
doi = "10.1007/s11605-021-05044-8",
language = "English",
volume = "25",
pages = "2463--2469",
journal = "J GASTROINTEST SURG",
issn = "1091-255X",
publisher = "Springer New York",
number = "10",

}

RIS

TY - JOUR

T1 - Multicenter Experience in Robot-Assisted Minimally Invasive Esophagectomy - a Comparison of Hybrid and Totally Robot-Assisted Techniques

AU - Grimminger, Peter P

AU - Staubitz, Julia I

AU - Perez, Daniel

AU - Ghadban, Tarik

AU - Reeh, Matthias

AU - Scognamiglio, Pasquale

AU - Izbicki, Jakob R

AU - Biebl, Matthias

AU - Fuchs, Hans

AU - Bruns, Christiane J

AU - Lang, Hauke

AU - Becker, Thomas

AU - Egberts, Jan-Hendrik

N1 - © 2021. The Author(s).

PY - 2021/10

Y1 - 2021/10

N2 - BACKGROUND: Oncological esophageal surgery has evolved significantly in the last decades. From open esophagectomy over (hybrid) minimally invasive surgery, nowadays, robot-assisted minimally invasive esophagectomy (RAMIE) approaches are applied. Current techniques require an analysis of possible advantages and disadvantages indicating the direction towards a novel gold standard.METHODS: Robot-assisted Ivor Lewis esophagectomies, performed in the period from April 2017 to June 2019 in five German centers (Berlin, Cologne, Hamburg, Kiel, Mainz), were included in this study. Pre-, intra-, and postoperative parameters were assessed. Cases were grouped for hybrid (H-RAMIE) versus totally robot-assisted (T-RAMIE) approaches. Postoperative parameters and complications were compared using risk ratios.RESULTS: A total of 175 operations were performed as T-RAMIE and 67 as H-RAMIE. Patient age (median age 62 years) and sex (83.1% male) were similarly distributed in both groups. Median duration of esophagectomy was significantly lower in the T-RAMIE group (385 versus 427 min, p < 0.001). The risks of "overall morbidity" (32.0 versus 47.8%; risk ratio [RR], 95% confidence interval (CI): 1.5, 1.1-2.1; p = 0.026), "anastomotic leak" (10.3 versus 22.4%; RR, CI: 2.2, 1.2-4.1; p = 0.020), and "respiratory failure" (1.1 versus 7.5%; RR, CI: 6.5, 1.3-32.9; p = 0.019) were significantly higher in case of H-RAMIE.CONCLUSIONS: In the five participating German centers, T-RAMIE was the preferred procedure (72.3% of operations). In comparison to H-RAMIE, T-RAMIE was associated with a significantly reduced risk of postoperative morbidity, anastomotic leak, and respiratory failure as well as a significantly reduced time necessary for esophagectomy.

AB - BACKGROUND: Oncological esophageal surgery has evolved significantly in the last decades. From open esophagectomy over (hybrid) minimally invasive surgery, nowadays, robot-assisted minimally invasive esophagectomy (RAMIE) approaches are applied. Current techniques require an analysis of possible advantages and disadvantages indicating the direction towards a novel gold standard.METHODS: Robot-assisted Ivor Lewis esophagectomies, performed in the period from April 2017 to June 2019 in five German centers (Berlin, Cologne, Hamburg, Kiel, Mainz), were included in this study. Pre-, intra-, and postoperative parameters were assessed. Cases were grouped for hybrid (H-RAMIE) versus totally robot-assisted (T-RAMIE) approaches. Postoperative parameters and complications were compared using risk ratios.RESULTS: A total of 175 operations were performed as T-RAMIE and 67 as H-RAMIE. Patient age (median age 62 years) and sex (83.1% male) were similarly distributed in both groups. Median duration of esophagectomy was significantly lower in the T-RAMIE group (385 versus 427 min, p < 0.001). The risks of "overall morbidity" (32.0 versus 47.8%; risk ratio [RR], 95% confidence interval (CI): 1.5, 1.1-2.1; p = 0.026), "anastomotic leak" (10.3 versus 22.4%; RR, CI: 2.2, 1.2-4.1; p = 0.020), and "respiratory failure" (1.1 versus 7.5%; RR, CI: 6.5, 1.3-32.9; p = 0.019) were significantly higher in case of H-RAMIE.CONCLUSIONS: In the five participating German centers, T-RAMIE was the preferred procedure (72.3% of operations). In comparison to H-RAMIE, T-RAMIE was associated with a significantly reduced risk of postoperative morbidity, anastomotic leak, and respiratory failure as well as a significantly reduced time necessary for esophagectomy.

U2 - 10.1007/s11605-021-05044-8

DO - 10.1007/s11605-021-05044-8

M3 - SCORING: Journal article

C2 - 34145494

VL - 25

SP - 2463

EP - 2469

JO - J GASTROINTEST SURG

JF - J GASTROINTEST SURG

SN - 1091-255X

IS - 10

ER -