title: [Robotic-assisted minimally invasive abdominothoracal oesophageal resection with intrathoracic anastomosis].
abstract: BACKGROUND
  Ivor Lewis oesophagectomy is one of the approaches used worldwide for treating oesophageal cancer. The adoption of minimally invasive oesophagectomy has increased worldwide since its first description more than 15 years ago. However, minimally invasive oesophagectomy with a chest anastomosis has advantages. By using a four-arm robotic platform, not only the preparation of the gastric tube and mobilisation of the oesophagus but also the intrathoracic anastomosis of the oesophagogastrostomy can be performed in a comfortable and safe way.
  
  
  METHODS
  The indication for oesophageal resection is oesophageal cancer.
  
  
  METHODS
  The operative procedure comprises robotic-assisted abdominothoracal oesophageal resection with reconstruction by a gastric tube and intrathoracic anastomosis (Ivor Lewis procedure).
  
  
  CONCLUSIONS
  Robotic abdominal and thoracic minimally invasive esophagectomy is feasible, and safe with a complete lymph node dissection. Especially the intrathoracic anastomosis of the oesophagogastrostomy can be performed in a comfortable and safe way.
authors.affiliation: Klinik für Allgemeine-, Viszeral-, Thorax-, Transplantations- und Kinderchirurgie, UKSH, Campus Kiel, Deutschland.
authors.forename: J-H
authors.initials: JH
authors.lastname: Egberts
authors.affiliation: Klinik für Allgemeine-, Viszeral-, Thorax-, Transplantations- und Kinderchirurgie, UKSH, Campus Kiel, Deutschland.
authors.forename: H
authors.initials: H
authors.lastname: Aselmann
authors.affiliation: Klinik für Allgemeine-, Viszeral-, Thorax-, Transplantations- und Kinderchirurgie, UKSH, Campus Kiel, Deutschland.
authors.forename: C
authors.initials: C
authors.lastname: Schafmayer
authors.affiliation: Klinik für Allgemeine-, Viszeral-, Thorax-, Transplantations- und Kinderchirurgie, UKSH, Campus Kiel, Deutschland.
authors.forename: K-P
authors.initials: KP
authors.lastname: Jünemann
authors.affiliation: Klinik für Allgemeine-, Viszeral-, Thorax-, Transplantations- und Kinderchirurgie, UKSH, Campus Kiel, Deutschland.
authors.forename: T
authors.initials: T
authors.lastname: Becker
mesh_terms: D000005:Abdomen / Q000601:surgery; D000230:Adenocarcinoma / Q000473:pathology / Q000601:surgery*; D000714:Anastomosis, Surgical / Q000379:methods*; D003131:Combined Modality Therapy; D004938:Esophageal Neoplasms / Q000473:pathology / Q000601:surgery*; D004943:Esophagogastric Junction / Q000601:surgery*; D005240:Feasibility Studies; D006801:Humans; D010535:Laparoscopy / Q000379:methods*; D008197:Lymph Node Excision / Q000379:methods; D008297:Male; D008875:Middle Aged; D019060:Minimally Invasive Surgical Procedures / Q000379:methods*; D020360:Neoadjuvant Therapy; D009367:Neoplasm Staging; D012371:Robotics / Q000379:methods*; D013270:Stomach / Q000601:surgery; D017792:Surgical Stapling