Robot Assisted Esophagectomy
The Robot Assisted Esophagectomy course will teach you:
- How to perform an esophagectomy using a robot in order to treat malignant diseases, in which case the resection includes the en bloc meso-esophagus and all the lymph nodes to prevent the progression of the disease
Special attention is paid to the following hazards you may encounter during the Robot Assisted Esophagectomy:
- Intercostal vessels injury
- Vagus nerve injury
- Recurrent laryngeal nerve injury
- Thoracic duct injury
- Pericardial injury
- Pulmonary vein injury
With the following tips you might perform the Robot Assisted Esophagectomy even better:
- Lifting the esophagus using a penrose drain
- Paratracheal lymph node removal
After studying the Robot Assisted Esophagectomy course you are familiar with the most common complications:
- Anastomotic leakage
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Step by step
Thoracic cavity approach
Before the introduction of the trocars, the right lung is desufflated. First, a 12 mm trocar for robot camera is placed in the 6th intercostal space, 3 cm dorsally to the axillary line. Two 12 mm trocars are inserted in the 4th and the 9th intercostal space in the axillary line. Two robotic 8 mm trocars are positioned; one in the 5th intercostal space, just ventral to the scapula and one in the 8th intercostal space at the level of the inferior angle of the scapula.
Intercostal vessels injury
The important intercostal vessels lie directly on the caudal side of the rib, and if punctured can cause serious hemorrhage.
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