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Preclinical study of transcervical upper mediastinal dissection for esophageal malignancy by robot‐assisted surgery
Author(s) -
Mori Kazuhiko,
Yoshimura Shuntaro,
Yamagata Yukinori,
Aikou Susumu,
Seto Yasuyuki
Publication year - 2017
Publication title -
the international journal of medical robotics and computer assisted surgery
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.556
H-Index - 53
eISSN - 1478-596X
pISSN - 1478-5951
DOI - 10.1002/rcs.1750
Subject(s) - medicine , dissection (medical) , surgery , malignancy , port (circuit theory) , robotic surgery , electrical engineering , engineering
Background Robotic surgical systems are potentially applicable to transcervical mediastinal lymph dissection for esophageal malignancy. Methods Robot‐assisted surgery was performed on a male fresh‐frozen human cadaver. Devices for single‐port laparoscopic surgery were deployed via one small incision in the left clavicular area. The task for the robot‐assisted surgery was the upper mediastinal dissection to the level of the left main bronchus and en bloc harvest of the lymph nodes adherent to the left recurrent laryngeal nerve. Results An up‐angled 30° scope in the 6 o'clock port and two robotic arms from the 3 and 9 o'clock ports worked effectively together. No collisions of the devices inside the cadaveric body or unexpected traumatic events occurred. Conclusion The robotic surgical system can be used safely for the upper mediastinal dissection. Copyright © 2016 John Wiley & Sons, Ltd.