Lower local recurrence rate after robot-assisted thoracoscopic esophagectomy than conventional thoracoscopic surgery for esophageal cancer
Abstract The oncological advantages of robot-assisted thoracoscopic esophagectomy (RATE) over conventional thoracoscopic esophagectomy (TE) for thoracic esophageal cancer have yet to be verified. In this study, we retrospectively analyzed clinical data to compare the incidences of recurrence within...
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2021-03-01
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doaj-4b113e30470147c2b60e17e4b49be7232021-03-28T11:30:04ZengNature Publishing GroupScientific Reports2045-23222021-03-011111810.1038/s41598-021-86420-xLower local recurrence rate after robot-assisted thoracoscopic esophagectomy than conventional thoracoscopic surgery for esophageal cancerSatoru Motoyama0Yusuke Sato1Akiyuki Wakita2Yushi Nagaki3Hiromu Fujita4Ryohei Sasamori5Kohei Kemuriyama6Shinogu Takashima7Kazuhiro Imai8Yoshihiro Minamiya9Esophageal Surgery, Akita University Hospital, Akita University School of MedicineEsophageal Surgery, Akita University Hospital, Akita University School of MedicineEsophageal Surgery, Akita University Hospital, Akita University School of MedicineEsophageal Surgery, Akita University Hospital, Akita University School of MedicineEsophageal Surgery, Akita University Hospital, Akita University School of MedicineEsophageal Surgery, Akita University Hospital, Akita University School of MedicineEsophageal Surgery, Akita University Hospital, Akita University School of MedicineThoracic Surgery, Akita University Graduate School of MedicineThoracic Surgery, Akita University Graduate School of MedicineThoracic Surgery, Akita University Graduate School of MedicineAbstract The oncological advantages of robot-assisted thoracoscopic esophagectomy (RATE) over conventional thoracoscopic esophagectomy (TE) for thoracic esophageal cancer have yet to be verified. In this study, we retrospectively analyzed clinical data to compare the incidences of recurrence within the surgical field after RATE and TE as an indicator of local oncological control. Among 121 consecutive patients with thoracic esophageal or esophagogastric junction cancers for which thoracoscopic surgery was indicated, 51 were treated with RATE while 70 received TE. The number of lymph nodes dissected from the mediastinum, duration of the thoracic portion of the surgery, and morbidity due to postoperative complications did not differ between the two groups. However, the rate of overall local recurrence within the surgical field was significantly (P = 0.039) higher in the TE (9%) than the RATE (0%) group. Lymph node recurrence within the surgical field occurred in left recurrent nerve, left tracheobronchial, left main bronchus and thoracic paraaortic lymph nodes, which were all difficult to approach to dissect. The other two local failures occurred around the anastomotic site. This study indicates that using RATE enabled the incidence of recurrence within the surgical field to be reduced, though there were some limitations.https://doi.org/10.1038/s41598-021-86420-x |
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DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Satoru Motoyama Yusuke Sato Akiyuki Wakita Yushi Nagaki Hiromu Fujita Ryohei Sasamori Kohei Kemuriyama Shinogu Takashima Kazuhiro Imai Yoshihiro Minamiya |
spellingShingle |
Satoru Motoyama Yusuke Sato Akiyuki Wakita Yushi Nagaki Hiromu Fujita Ryohei Sasamori Kohei Kemuriyama Shinogu Takashima Kazuhiro Imai Yoshihiro Minamiya Lower local recurrence rate after robot-assisted thoracoscopic esophagectomy than conventional thoracoscopic surgery for esophageal cancer Scientific Reports |
author_facet |
Satoru Motoyama Yusuke Sato Akiyuki Wakita Yushi Nagaki Hiromu Fujita Ryohei Sasamori Kohei Kemuriyama Shinogu Takashima Kazuhiro Imai Yoshihiro Minamiya |
author_sort |
Satoru Motoyama |
title |
Lower local recurrence rate after robot-assisted thoracoscopic esophagectomy than conventional thoracoscopic surgery for esophageal cancer |
title_short |
Lower local recurrence rate after robot-assisted thoracoscopic esophagectomy than conventional thoracoscopic surgery for esophageal cancer |
title_full |
Lower local recurrence rate after robot-assisted thoracoscopic esophagectomy than conventional thoracoscopic surgery for esophageal cancer |
title_fullStr |
Lower local recurrence rate after robot-assisted thoracoscopic esophagectomy than conventional thoracoscopic surgery for esophageal cancer |
title_full_unstemmed |
Lower local recurrence rate after robot-assisted thoracoscopic esophagectomy than conventional thoracoscopic surgery for esophageal cancer |
title_sort |
lower local recurrence rate after robot-assisted thoracoscopic esophagectomy than conventional thoracoscopic surgery for esophageal cancer |
publisher |
Nature Publishing Group |
series |
Scientific Reports |
issn |
2045-2322 |
publishDate |
2021-03-01 |
description |
Abstract The oncological advantages of robot-assisted thoracoscopic esophagectomy (RATE) over conventional thoracoscopic esophagectomy (TE) for thoracic esophageal cancer have yet to be verified. In this study, we retrospectively analyzed clinical data to compare the incidences of recurrence within the surgical field after RATE and TE as an indicator of local oncological control. Among 121 consecutive patients with thoracic esophageal or esophagogastric junction cancers for which thoracoscopic surgery was indicated, 51 were treated with RATE while 70 received TE. The number of lymph nodes dissected from the mediastinum, duration of the thoracic portion of the surgery, and morbidity due to postoperative complications did not differ between the two groups. However, the rate of overall local recurrence within the surgical field was significantly (P = 0.039) higher in the TE (9%) than the RATE (0%) group. Lymph node recurrence within the surgical field occurred in left recurrent nerve, left tracheobronchial, left main bronchus and thoracic paraaortic lymph nodes, which were all difficult to approach to dissect. The other two local failures occurred around the anastomotic site. This study indicates that using RATE enabled the incidence of recurrence within the surgical field to be reduced, though there were some limitations. |
url |
https://doi.org/10.1038/s41598-021-86420-x |
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