Robotische Ösophaguresektion (RAMIE) – Setup, Port Placement, strukturierte OP-Schritte

Zusammenfassung

Die roboterassistierte Ösophagusresektion (RAMIE) kann insbesondere im thorakalen Teil der Operation die Limitationen der konventionellen minimalinvasiven Chirurgie überwinden. Durch mehr Freiheitsgrade der Bewegung und verbesserte Sicht ist insbesondere die Anastomosenanlage im robotischen Vorgehen einfacher. In der vorliegenden Arbeit stellen wir unsere etablierte RAMIE-Technik sowie die Anlage einer Dünndarmernährungssonde am Da-Vinci-Xi^®-System vor. Diese unterscheidet sich insbesondere durch die nur partielle Bildung des Magenschlauches abdominell sowie die Durchführung einer End-zu-Seit-Anastomose mit Zirkularstapler und kompletter Übernähung von anderen publizierten Techniken.

Abstract

Robot-assisted minimally invasive oesophagectomy (RAMIE) can overcome the limitations of thoracoscopic surgery, particularly in the thoracic part of the operation. Thanks to more degrees of freedom of movement, anastomosis is simpler in the robotic procedure. In this work, we present our established full RAMIE-technique on the da Vinci Xi^® system. Our technique is characterized by the incomplete formation of the gastric tube abdominally and an end-to-side anastomosis with a circular stapler.

Schlüsselwörter

RAMIE - Ösophagusresektion - Ivor-Lewis - robotische Chirurgie

Key words

RAMIE - oesophagectomy - robotic surgery - Ivor-Lewis

• Literatur

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