Robotic enucleation of oesophageal leiomyoma technique and surgical outcomes
Introduction: Complete enucleation of oesophageal leiomyoma is the treatment of choice, traditionally performed by open surgery. Minimally invasive thoracoscopic approaches have been proposed as an alternative to thoracotomy. Robotic surgical systems with improved dexterity, tremor filtration and st...
| Main Authors: | , , , , , |
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| Format: | Article |
| Language: | English |
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Wolters Kluwer Medknow Publications
2022-01-01
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| Series: | Journal of Minimal Access Surgery |
| Subjects: | |
| Online Access: | http://www.journalofmas.com/article.asp?issn=0972-9941;year=2022;volume=18;issue=1;spage=84;epage=89;aulast=Asaf |
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| author | Belal Bin Asaf Sukhram Bishnoi Harsh Vardhan Puri Mohan Venkatesh Pulle Robert James Cerfolio Arvind Kumar |
| author_facet | Belal Bin Asaf Sukhram Bishnoi Harsh Vardhan Puri Mohan Venkatesh Pulle Robert James Cerfolio Arvind Kumar |
| author_sort | Belal Bin Asaf |
| collection | DOAJ |
| description | Introduction: Complete enucleation of oesophageal leiomyoma is the treatment of choice, traditionally performed by open surgery. Minimally invasive thoracoscopic approaches have been proposed as an alternative to thoracotomy. Robotic surgical systems with improved dexterity, tremor filtration and stereoscopic vision are advancement over conventional thoracoscopy and may make the preservation of mucosal integrity relatively easier. We present herein our technique of robotic-assisted thoracoscopic (RATS) enucleation of oesophageal leiomyoma along with surgical outcomes and intermediate follow-up of 11 cases.
Materials and Methods: The present study retrospectively reviews patients undergoing robotic portal oesophageal leiomyomectomy from March 2012 to October 2019. The collected data were analysed for demographic details, clinical presentation, size, shape, tumour location, operating time, post-operative complications, length of hospital stay and recurrence on follow-up.
Results: Twelve patients underwent robotic portal oesophageal leiomyomectomy with a clinical diagnosis of oesophageal leiomyoma. Of these, 11 patients were included in the study. The average operative time was 110 min, with a mean blood loss of 26 ml. There was no conversion in this series. At a median follow-up of 44 months (range 6–78 months), all patients were symptom-free with no recurrence or diverticula.
Conclusion: Our series demonstrates the safety and feasibility of RATS oesophageal enucleation with good short and intermediate outcomes. In our opinion, the robotic system's technical advantages are particularly beneficial for oesophageal leiomyoma enucleation. |
| first_indexed | 2024-12-20T16:27:23Z |
| format | Article |
| id | doaj.art-3839adbb010c44459b9ad8b3c23f025a |
| institution | Directory Open Access Journal |
| issn | 0972-9941 1998-3921 |
| language | English |
| last_indexed | 2024-12-20T16:27:23Z |
| publishDate | 2022-01-01 |
| publisher | Wolters Kluwer Medknow Publications |
| record_format | Article |
| series | Journal of Minimal Access Surgery |
| spelling | doaj.art-3839adbb010c44459b9ad8b3c23f025a2022-12-21T19:33:22ZengWolters Kluwer Medknow PublicationsJournal of Minimal Access Surgery0972-99411998-39212022-01-01181848910.4103/jmas.JMAS_263_20Robotic enucleation of oesophageal leiomyoma technique and surgical outcomesBelal Bin AsafSukhram BishnoiHarsh Vardhan PuriMohan Venkatesh PulleRobert James CerfolioArvind KumarIntroduction: Complete enucleation of oesophageal leiomyoma is the treatment of choice, traditionally performed by open surgery. Minimally invasive thoracoscopic approaches have been proposed as an alternative to thoracotomy. Robotic surgical systems with improved dexterity, tremor filtration and stereoscopic vision are advancement over conventional thoracoscopy and may make the preservation of mucosal integrity relatively easier. We present herein our technique of robotic-assisted thoracoscopic (RATS) enucleation of oesophageal leiomyoma along with surgical outcomes and intermediate follow-up of 11 cases. Materials and Methods: The present study retrospectively reviews patients undergoing robotic portal oesophageal leiomyomectomy from March 2012 to October 2019. The collected data were analysed for demographic details, clinical presentation, size, shape, tumour location, operating time, post-operative complications, length of hospital stay and recurrence on follow-up. Results: Twelve patients underwent robotic portal oesophageal leiomyomectomy with a clinical diagnosis of oesophageal leiomyoma. Of these, 11 patients were included in the study. The average operative time was 110 min, with a mean blood loss of 26 ml. There was no conversion in this series. At a median follow-up of 44 months (range 6–78 months), all patients were symptom-free with no recurrence or diverticula. Conclusion: Our series demonstrates the safety and feasibility of RATS oesophageal enucleation with good short and intermediate outcomes. In our opinion, the robotic system's technical advantages are particularly beneficial for oesophageal leiomyoma enucleation.http://www.journalofmas.com/article.asp?issn=0972-9941;year=2022;volume=18;issue=1;spage=84;epage=89;aulast=Asafoesophageal leiomyomarobotic enucleation of oesophageal leiomyomarobotic oesophageal surgery |
| spellingShingle | Belal Bin Asaf Sukhram Bishnoi Harsh Vardhan Puri Mohan Venkatesh Pulle Robert James Cerfolio Arvind Kumar Robotic enucleation of oesophageal leiomyoma technique and surgical outcomes Journal of Minimal Access Surgery oesophageal leiomyoma robotic enucleation of oesophageal leiomyoma robotic oesophageal surgery |
| title | Robotic enucleation of oesophageal leiomyoma technique and surgical outcomes |
| title_full | Robotic enucleation of oesophageal leiomyoma technique and surgical outcomes |
| title_fullStr | Robotic enucleation of oesophageal leiomyoma technique and surgical outcomes |
| title_full_unstemmed | Robotic enucleation of oesophageal leiomyoma technique and surgical outcomes |
| title_short | Robotic enucleation of oesophageal leiomyoma technique and surgical outcomes |
| title_sort | robotic enucleation of oesophageal leiomyoma technique and surgical outcomes |
| topic | oesophageal leiomyoma robotic enucleation of oesophageal leiomyoma robotic oesophageal surgery |
| url | http://www.journalofmas.com/article.asp?issn=0972-9941;year=2022;volume=18;issue=1;spage=84;epage=89;aulast=Asaf |
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