• S Trugeda, M J Fernández-Díaz, J C Rodríguez-Sanjuán, C M Palazuelos, C Fernández-Escalante, and M Gómez-Fleitas.
• Department of General Surgery, University Hospital 'Marqués de Valdecilla', University of Cantabria, Santander, Spain.
• Int J Med Robot. 2014 Dec 1; 10 (4): 397-403.

BackgroundThere is scanty experience concerning robot-assisted Ivor-Lewis oesophagectomy, so every new experience is helpful.MethodsWe describe the techniques and short-term results of Ivor-Lewis oesophagectomy using a laparoscopic approach and robot-assisted thoracoscopy, and an observational study of prospective surveillance of the first 14 patients treated for oesophageal cancer. A gastric tube was created laparoscopically. Oesophagectomy was performed through a robot-assisted thoracoscopy followed by hand-sewn intrathoracic anastomosis.ResultsThere were no conversion cases. Mortality was zero. Six patients had a major complication. There were no cases of respiratory complication or recurrent laryngeal nerve palsy. Three patients had a radiological fistula (21.4%), successfully treated by endoscopic stenting, and one (7.1%) had an anastomosis leak needing reoperation. There were two cases of chylothorax (14.3%).ConclusionsOur initial results suggest that the reported technique is safe and satisfies the oncological principles. It provides the advantages of minimally invasive surgery by overcoming some limitations of conventional thoracoscopy.Copyright © 2014 John Wiley & Sons, Ltd.

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