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- Title
Robotic-Assisted Thoracoscopic (RATS) Enucleation of Esophageal Mesenchymal Tumors and Foregut Cysts.
- Authors
Chen, Yung-Hsin; Chen, Ke-Cheng; Huang, Pei-Ming; Kuo, Shuenn-Wen; Lin, Mong-Wei; Lee, Jang-Ming
- Abstract
Background: Esophageal mesenchymal tumors and foregut cysts are mostly benign lesions of the esophagus. Tumor enucleation is recommended for lesions with a risk of malignancy, or for the relief of clinical symptoms. Although robotic-assisted thoracoscopic enucleation of esophageal tumors and cysts has been demonstrated in sporadic case reports, its clinical role is yet to be elucidated. Methods: This study aimed to present the first case series in the literature for the perioperative and long-term clinical outcomes of robotic-assisted thoracoscopic enucleation. Results: A total of 19 patients who underwent robotic-assisted thoracoscopic enucleation of esophageal tumors and cysts from 2012 to 2019 were included in the study. The mean tumor/cyst size was 5.5 cm (1.5–22 cm). There were two cases shifting to minimally invasive esophagectomy (10.5%) due to intraoperative pathological confirmation of malignant gastrointestinal stromal tumors with mucosal invasion. Perioperative complication was detected in three (15.8%) cases, without 30-day or surgical mortality. There was no recurrence of tumor or symptoms in all patients during the clinical follow-up period (mean = 35 months). Conclusions: Robotic-assisted thoracoscopic enucleation of esophageal submucosal benign tumors is technically feasible and effective. Given its advantage in overcoming spatial limitations, it can become a widely accepted surgical option for such diseases.
- Subjects
ESOPHAGEAL tumors; FOREGUT; GASTROINTESTINAL stromal tumors; BENIGN tumors; CYSTS (Pathology); ESOPHAGEAL cancer; DENTIGEROUS cyst
- Publication
Journal of Clinical Medicine, 2022, Vol 11, Issue 21, p6471
- ISSN
2077-0383
- Publication type
Article
- DOI
10.3390/jcm11216471