TOTALLY ROBOTIC IVOR-LEWIS ESOPHAGECTOMY WITH INTRATHORACIC ROBOT-SEWN ANASTOMOSIS FOR CARDIO-ESOPHAGEAL CANCER WITH THE DA VINCI XI
Cigdem Benlice*1, Ahmet Demirkaya2, Afag Aghayeva1, Bilgi Baca1, Ismail Hamzaoglu1, Tayfun Karahasanoglu1
1General Surgery, Acibadem University, Istanbul, Turkey; 2Thoracic Surgery, Acibadem University, Istanbul, Turkey
This video demonstrates fully robotic Ivor-Lewis esophagectomy with intrathoracic robot-sewn anastomosis. 68-year-old male was presented with epigastric pain and endoscopy showed ulcerated mass at the cardio-esophageal junction. He received neoadjuvant chemo/radiotherapy. Suprapancreatic lymphadenectomy along the common hepatic artery and celiac trunk was performed by preserving the gastroomental vessels. Indocyanine green dye was administrated to assess gastric conduit perfusion before/after anastomosis. Intrathoracic esophago-gastric anastomosis was performed. As a conclusion, fully robotic Ivor-Lewis esophagectomy with intrathoracic anastomosis is a safe and feasible technique.
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