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Thorac Cardiovasc Surg 2018; 66(05): 407-409
DOI: 10.1055/s-0038-1636933
How to Do It
Georg Thieme Verlag KG Stuttgart · New York

The da Vinci Xi Robotic Four-Arm Approach for Robotic-Assisted Minimally Invasive Esophagectomy

Peter Philipp Grimminger
1   Department of General, Visceral- and Transplant Surgery, University Medical Center of the Johannes Gutenberg University, Mainz, Germany
,
Edin Hadzijusufovic
1   Department of General, Visceral- and Transplant Surgery, University Medical Center of the Johannes Gutenberg University, Mainz, Germany
,
Jelle Piet-Hein Ruurda
2   Department of Surgery, University Medical Center, Utrecht, The Netherlands
,
Hauke Lang
1   Department of General, Visceral- and Transplant Surgery, University Medical Center of the Johannes Gutenberg University, Mainz, Germany
,
Richard van Hillegersberg
2   Department of Surgery, University Medical Center, Utrecht, The Netherlands
› Author Affiliations
Further Information

Publication History

15 December 2017

19 January 2018

Publication Date:
06 April 2018 (online)

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Abstract

Robotic surgery is gaining importance in complex thoracoscopic surgery, such as robotic-assisted minimally invasive esophagectomy (RAMIE). The RAMIE procedure was designed using the first generation of the robotic system. The latest da Vinci Xi system has substantially increased the dexterity, especially designed for multiquadrant surgery. The original three-arm RAMIE approach was modified including the robotic four-arm use for the thoracoscopic and laparoscopic part of the operation. This extended approach (four-arm RAMIE approach) provides more flexibility and raises the independence of the surgeon.

Keywords

da Vinci Xi - RAMIE4 - esophageal cancer - MIE - RAMIE
 

  • References

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