ArticleTranslational gastroenterology and hepatology2019
Modular step-up approach to robot-assisted transthoracic esophagectomy-experience of a German high volume center.
Article in Translational gastroenterology and hepatology, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers, 1 of them a synthesis that pooled it.
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Who cites it
21 citing papers in PubMed, 1 synthesis or guideline pooled it, 36 citations in OpenAlex.
- [New techniques and training methods for robot-assisted surgery and cost-benefit analysis of Ivor Lewis esophagectomy].Der Chirurg; Zeitschrift fur alle Gebiete der operativen Medizen · 2021Pooled it
- Artificial intelligence for intraoperative video analysis in robotic-assisted esophagectomy.Surgical endoscopy · 2025Review
- [Multimorbid patients in visceral surgery-Upper gastrointestinal tract].Chirurgie (Heidelberg, Germany) · 2025Article
- Skill progress during a dedicated societal robotic surgery training curriculum including several robotic surgery platforms.Surgical endoscopy · 2024Observational
- Safe Transition from Open to Total Minimally Invasive Esophagectomy for Cancer Utilizing Process Management Methodology.Journal of clinical medicine · 2024Article
- [The "surgical track"-Innovative approaches to counteract the shortage of young recruits in surgery].Chirurgie (Heidelberg, Germany) · 2024Review
- Article
- Robotic Assist and Virtual Surgical Planning in Orthognathic Surgery.Galen medical journal · 2024Review
- Surgical outcomes of 500 robot-assisted minimally invasive esophagectomies for esophageal carcinoma.Journal of thoracic disease · 2023Article
- Postesophagectomy Diaphragmatic Prolapse after Robot-Assisted Minimally Invasive Esophagectomy (RAMIE).Journal of clinical medicine · 2023Article
- Analysis of training pathway to reach expert performance levels based on proficiency-based progression in robotic-assisted minimally invasive esophagectomy (RAMIE).Surgical endoscopy · 2023Article
- Hybrid laparoscopic versus fully robot-assisted minimally invasive esophagectomy: an international propensity-score matched analysis of perioperative outcome.Surgical endoscopy · 2023Article
- TEsoNet: knowledge transfer in surgical phase recognition from laparoscopic sleeve gastrectomy to the laparoscopic part of Ivor-Lewis esophagectomy.Surgical endoscopy · 2023Article
- Article
- Multicentric exploration of tool annotation in robotic surgery: lessons learned when starting a surgical artificial intelligence project.Surgical endoscopy · 2022Article
- Robot-assisted minimally invasive esophagectomy (RAMIE) vs. hybrid minimally invasive esophagectomy: propensity score matched short-term outcome analysis of a European high-volume center.Surgical endoscopy · 2022Article
- [Influence of the COVID-19 pandemic on robotic visceral surgery in Germany].Chirurgie (Heidelberg, Germany) · 2022Article
- Outcomes of robotic esophagectomies for esophageal cancer by hospital volume: an analysis of the national cancer database.Surgical endoscopy · 2021Article
- Article
- Essential Updates 2018/2019: Essential Updates for esophageal cancer surgery.Annals of gastroenterological surgery · 2020Review
Corrections and comments
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Authors and funding
5 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundThe use of robotic technology in general surgery is rapidly increasing in Europe. Aim of this study is to evaluate the introduction of new robotic technologies in a center of excellence for upper gastrointestinal surgery.
methodsA standardized teaching protocol of a complete OR team was performed in simulation and animal models at the Center for the Future of Surgery (San Diego CA, USA) and IRCAD (Strasbourg, France) to receive certification as console surgeons. Starting 02/2017 the daVinci Xi and Stryker ICG laparoscopy systems were introduced at our academic center (certified center of excellence for surgery of the upper gastrointestinal tract, n>300 upper gastrointestinal cases/year). After simple training procedures based on our minimally invasive expertise were performed, difficulty was increased based on a modular step up approach to finally perform robotic assisted transthoracic Ivor Lewis esophagectomy.
resultsA total of 70 patients (9 females) fulfilled inclusion criteria to our study. Robotic assisted esophagectomy was divided into six modules. Level of difficulty was increased based on our modular step up approach without quality compromises. There were no intraoperative complications and no unplanned conversions to open surgery. Two surgeons were able to sequentially train and perform a completely robotic transthoracic esophagectomy using this modular approach without a substantial learning curve. A total of ten esophagectomies per surgeon were necessary to complete all modules in one case.
conclusionsThe standardized training protocol and the University of Cologne modular step up approach allowed safe introduction of the new technology used. All cases were performed safely without operation-associated complications.
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