Alexander Urbanski · Benjamin Babic · Wolfgang Schröder · Lars Schiﬀmann · Dolores T. Müller · Christiane J. Bruns · Hans F. Fuchs
Department and Polyclinic for General, Visceral, Tumor and Transplant Surgery, University Hospital of Cologne, Cologne, Germany
© Springer Medical Publishing LLC, a part of Springer Nature 2020
C.J. Bruns, Cologne
Introduction. Robotic systems were introduced into visceral surgery more than 20 years ago.
Shortly thereafter, in 2003, Horgan performed the ﬁrst robot-assisted esophagus resection in Chicago. The objective of this article is to present new techniques and training methods in robot-assisted surgery with a cost-beneﬁt analysis using the example of the Ivor Lewis esophagectomy.
Methods. We performed a systematic literature search regarding new technologies in the field of robotic surgery and a cost analysis of the intraoperative consumable materials for both the hybrid Ivor-Lewis esophagectomy and the robot-assisted Ivor-Lewis esophagectomy.
Results. Robot-assisted esophageal surgery is complex and involves an extensive learning phase, which can be significantly shortened with modern training methods. New robotic systems focus on the use of image-guided surgery and artiﬁcial intelligence. Robot-assisted procedures for esophageal tumors are signiﬁcantly more expensive than comparable procedures without this technology.
Conclusion. Oncological short-term and long-term beneﬁts for patients after robot-assisted procedures on the upper gastrointestinal tract must be further evaluated to justify the use of robotic technology.
Robotics · Esophageal cancer · Medical technology · Minimally invasive surgery · Hybrid esophagectomy