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Article Dans Une Revue Journal of Visceral Surgery Année : 2021

Robotic gastric mobilization during Ivor Lewis esophagectomy (with video)


Surgical procedures for esophageal cancer (Lewis?Santy procedure) remain associated with high postoperative complication rates. However, a reduction of postoperative complications has been observed recently since this type of intervention has been centralized. Another cause explaining postoperative reduced complication rates is the possibility to perform a laparoscopic approach for gastric dissection [1]. It has been shown that it reduces the rate of major complications and in particular pulmonary complications, without impacting the overall survival [2]. Consequently, the laparoscopic approach is currently considered as the gold standard. The use of the robotic platform has been proposed to perform gastric dissection with more and more centers providing this approach for esophageal cancer surgery [3]. This video shows a 60-year-old patient, with no medical history, managed for a non-metastatic squamous cell carcinoma located in the middle of thoracic esophagus. After neoadjuvant radiochemotherapy, the morphological assessment showed a stable situation without local or distant tumoral extension. It was decided to perform an esophagectomy using Ivor Lewis procedure. This video shows the different operating steps necessary to perform a robotic-assisted abdominal mobilization of the stomach, associated with lymph node dissection.
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hal-03597307 , version 1 (24-04-2023)


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Lionel Rebibo, I. Benkritly, S. Msika. Robotic gastric mobilization during Ivor Lewis esophagectomy (with video). Journal of Visceral Surgery, 2021, 158 (2), pp.180-181. ⟨10.1016/j.jviscsurg.2021.03.003⟩. ⟨hal-03597307⟩
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