Thorac cardiovasc Surg
DOI: 10.1055/s-0037-1606198
How to Do It
Georg Thieme Verlag KG Stuttgart · New York

Robotic-Assisted Ivor Lewis Esophagectomy (RAMIE) with a Standardized Intrathoracic Circular End-to-side Stapled Anastomosis and a Team of Two (Surgeon and Assistant Only)

Peter P. Grimminger1, Edin Hadzijusufovic1, Hauke Lang1
  • 1Department of General, Visceral, and Transplant Surgery, Universitatsmedizin Mainz, Mainz, Germany
Further Information

Publication History

29 May 2017

14 July 2017

Publication Date:
04 September 2017 (eFirst)


Robotic-assisted surgery is rapidly increasing, especially in general surgery. It has been shown for years that the minimal invasive esophagectomy (MIE) is possible using a robotic system, for example, da Vinci Xi, Intuitive Surgical. In the past, most robotic esophageal resections have been performed thoracoscopically, and the anastomosis was mostly sutured at the neck. Due to the increase of usable instruments and technical progress, it is possible to perform the total abdominothoracic esophagectomy with an intrathoracic sutured anastomosis robotically. In this article, we would like to present the standardized operation technique and tricks for the robotic-assisted (da Vinci Xi) Ivor Lewis MIE (RAMIE), especially the robotic technique in combination with a standardized intrathoracic circular end-to-side stapled esophagogastric anastomosis.