Evidence map›Paper›PMID 42745053›Full record

ArticleSurgical endoscopy2026

Robotic Ivor Lewis esophagectomy experience and outcomes from a high-volume cancer center with propensity-matched comparative assessment to the ACS-NSQIP database.

Victor Gazivoda, Samir Saeed, Junmin Whiting, Jobelle J Baldonado, Jacques P Fontaine, Andrew J Sinnamon, Jose M Pimiento

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Article in Surgical endoscopy, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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1 · What the graph read from it

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4 · The record

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5 · Who and what money

Authors and funding

7 authors.

Victor GazivodaDepartment of Gastrointestinal Oncology, H. Lee Moffitt Cancer Center and Research Institute, 12902 USF Magnolia Drive, Tampa, FL, 33612, USA.ORCID http://orcid.org/0000-0002-2923-6573
Samir SaeedDepartment of Gastrointestinal Oncology, H. Lee Moffitt Cancer Center and Research Institute, 12902 USF Magnolia Drive, Tampa, FL, 33612, USA.
Junmin WhitingDepartment of Biostatistics & Bioinformatics, H. Lee Moffitt Cancer Center and Research Institute, Tampa, FL, USA.
Jobelle J BaldonadoDepartment of Thoracic Surgery, H. Lee Moffitt Cancer Center and Research Institute, Tampa, FL, USA.
Jacques P FontaineDepartment of Thoracic Surgery, H. Lee Moffitt Cancer Center and Research Institute, Tampa, FL, USA.
Andrew J SinnamonDepartment of Gastrointestinal Oncology, H. Lee Moffitt Cancer Center and Research Institute, 12902 USF Magnolia Drive, Tampa, FL, 33612, USA.
Jose M PimientoDepartment of Gastrointestinal Oncology, H. Lee Moffitt Cancer Center and Research Institute, 12902 USF Magnolia Drive, Tampa, FL, 33612, USA. jose.pimiento@moffitt.org.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundAdoption of minimally invasive techniques for esophagectomy has increased and has become preferred compared to open esophagectomy (OE). The purpose of this study is to report the experience of a high-volume cancer center compared to a contemporary OE series from the ACS-NSQIP database.

methodsSingle institution retrospective study from a prospective database of 1,448 patients undergoing esophagectomy. Included patients underwent elective robotic Ivor Lewis esophagectomy (RILE) for non-metastatic esophageal cancer. Patients were matched by demographic and oncologic preoperative characteristics and outcomes were compared to the 2016-2023 ACS-NSQIP esophagectomy targeted database.

resultsFrom 2010 to 2025, 649 robotic total esophagectomies were performed with 582 patients undergoing elective RILE. Patients were predominantly white males, 66 (IQR: 58-71) years old, BMI of 27.2 (24.2-30.8), ASA of 3, 466 patients received neoadjuvant chemotherapy, and 459 patients received radiation. Median operative time was 421 (IQR: 383-470) minutes, estimated blood loss was 150 (IQR: 100-250) mL, 23 (Range: 4-64) lymph nodes were harvested, and R0 resection was obtained 95.7%. One hundred eighty-nine patients were matched 1:1 to ACS-NSQIP OE control preoperative variables. Patients who underwent RILE had decreased serious morbidity (14.3% vs. 26.5%, p = 0.003), reoperation (2.6% vs. 14.3%, <0.001), pulmonary complications (12.2% vs. 22.2%, p = 0.010), and length of stay (9 vs. 10 days, p < 0.001). Operative time (415 vs. 323 min, p < 0.001) was longer in the RILE cohort. There was no difference in leak rate or 30-day mortality.

conclusionIn this large single institutional series of over 15 years of performing RILE, we report favorable perioperative outcomes compared to the contemporary national open esophagectomy cohort from the ACS-NSQIP database.

Indexed as

Esophageal cancerIvor Lewis esophagectomyNSQIPOutcomesRobotic

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.