首页|University of Manitoba Reports Findings in Adenocarcinoma (Clinical outcomes of the robot-assisted Ivor Lewis procedure for adenocarcinoma of the esophagogastri c junction with semi-instrument overlap intrathoracic anastomosis)
University of Manitoba Reports Findings in Adenocarcinoma (Clinical outcomes of the robot-assisted Ivor Lewis procedure for adenocarcinoma of the esophagogastri c junction with semi-instrument overlap intrathoracic anastomosis)
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By a News Reporter-Staff News Editor at Robotics & Machine Learning Daily News Daily News-New research on Oncology-Adenocarcin oma is the subject of a report. According to news reporting from Winnipeg, Canad a, by NewsRx journalists, research stated, "The main difficulty of minimally inv asive Ivor Lewis (IL) procedure for adenocarcinoma of the esophagogastric juncti on (AEGJ) is the intrathoracic esophagogastric anastomosis (IEA). We aimed to as sess the safety and feasibility of the IL procedure with the da Vinci surgical s ystem for treatment of AEGJ with semi-mechanical intrathoracic IEA." The news correspondents obtained a quote from the research from the University o f Manitoba, "The cohort included 72 patients with AEGJ who received treatment at the Department of Minimally Invasive Esophagus Surgery of the Tianjin Medical U niversity Cancer Institute and Hospital from August 2020 to March 2023. Of these 72 patients, 17 received neoadjuvant chemo-immunotherapy. The robot-assisted mi nimally invasive IL procedure was performed using a linear stapler for overlap s ide-to-side intrathoracic anastomosis and the stapler defect was closed with dou ble full-layer continuous sutures by robotic handsewn (semi-mechanical) IEA. Of the 72 AEGJ patients, 2 were converted to exploration, 7 were converted to lapa rotomy and thoracotomy for circular-stapled intrathoracic anastomosis, and 6 wer e converted to thoracotomy for circular-stapled anastomosis, which included 2 ca ses of extensive pleural adhesion and 4 cases of overlap anastomosis failure, wh ereas 57 underwent the robot-assisted minimally invasive IL procedure with semi- mechanical IEA. Among the 9 patients converted to laparotomy, the laparotomy rat e was closely related to the Siewert classification (P <0.0 05) and preoperative use of neoadjuvant therapy (P <0.05). Among the 57 patients who underwent the robot-assisted minimally invasive IL pro cedure with semi-mechanical IEA, there were 2 cases of anastomotic leakages (2/5 7, 3.5%), no case of anastomotic stricture, 5 cases of postoperativ e pneumonia (5/57, 8.77%), 2 cases of intensive care unit admission (2/57, 3.5%), and 1 case of readmission within 30 days (1/57, 1.75 %). None of the patients died within 30 days after surgery. The rob ot-assisted minimally invasive IL procedure with semi-mechanical IEA is both saf e and feasible for AEGJ."
WinnipegCanadaNorth and Central Amer icaAdenocarcinomaCancerEmerging TechnologiesHealth and MedicineLaparot omyMachine LearningOncologyOperative Surgical ProceduresRobotRoboticsSurgery
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