• Gregory J Harbison, John D Vossler, Nicholas H Yim, and Kenric M Murayama.
• John A. Burns School of Medicine, University of Hawai'i, 651 Ilalo Street, Honolulu, HI, 96813, United States. Electronic address: gharbiso@hawaii.edu.
• Am. J. Surg. 2019 Dec 1; 218 (6): 1223-1228.

BackgroundUtilization of robotic-assistance for esophagectomy is increasing. The differences in outcomes between robotic-assisted minimally-invasive esophagectomy (RAMIE) and non-robotic minimally-invasive esophagectomy (MIE) for esophageal cancer are unknown. The purpose of this study was to compare 30-day postoperative outcomes between RAMIE and MIE.MethodsA retrospective analysis was conducted using the ACS-NSQIP 2016-2017 databases. Primary outcome was 30-day postoperative mortality and morbidity.Results725 minimally-invasive cases were identified, which included 100 RAMIE and 625 MIE. RAMIE was not found to be a risk factor for postoperative mortality (OR 1.50, 95% CI 0.38-6.00, p = 0.5675) or overall morbidity (OR 0.65, 95% CI 0.40-1.06, p = 0.0818). No significant differences were found between groups for systemic, organ-specific, or surgical complications.ConclusionsNo significant difference was found in the incidence of 30-day postoperative outcomes between RAMIE and MIE. In comparison to MIE, RAMIE may be considered a feasible but non-superior option for treatment of esophageal cancer.Copyright © 2019 Elsevier Inc. All rights reserved.

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