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J Thorac Cardiovasc Surg 2011;142:1283-1284
© 2011 The American Association for Thoracic Surgery

Brief Technique Report

Robotic transthoracic esophagectomy in the prone position: Experience with 32 patients with esophageal cancer

Shailesh Padmakar Puntambekar, MS*, Neeraj Rayate, MS, DNB, Sourabh Joshi, MS, Geetanjali Agarwal, MS

Galaxy Care Laparoscopy Institute, Pune, Maharashtra, India

Received for publication August 26, 2010; revisions received March 18, 2011; accepted for publication March 28, 2011.

* Address for reprints: Shailesh Padmakar Puntambekar, MS, Galaxy Care Laparoscopy Institute, Pune, Maharashtra 411004, India. (Email: shase63@gmail.com).

The first 20% of the full text of this article appears below.


   Introduction
 
The first case description of thoracoscopic esophagectomy aided by the da Vinci robotic system (Intuitive Surgical, Inc, Sunnyvale, Calif) was published in 2004 by Kernstine and colleagues.1Go We report here our single-institution experience of 32 robot-assisted esophagectomies with the da Vinci robot in which mobilization of the esophagus was done with the patient in the prone position.


   Operative Technique
 
The patient was placed in the prone position on an operative sandbag. The robotic cart was situated to the left side of the patient. The operative trocars for the robot (one 12-mm port for the camera and two 8-mm ports for the arms) were placed (Figure 1 ). The first port was inserted 1 finger-breadth below and posterior to inferior angle of scapula in the 5th or 6th intercostal space. Two 8-mm trocars were positioned under direct thoracoscopic vision in a vertical line at a distance . . . [Full Text of this Article]




This article has been cited by other articles:


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 J. Thorac. Cardiovasc. Surg.Home page
R. J. Cerfolio, A. S. Bryant, and M. T. Hawn
Technical aspects and early results of robotic esophagectomy with chest anastomosis
J. Thorac. Cardiovasc. Surg., January 1, 2013; 145(1): 90 - 96.
[Abstract] [Full Text] [PDF]


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