Hybrid robotic versus hybrid laparoscopic Ivor Lewis oesophagectomy: a case-matched analysis

Abstract OBJECTIVES Robotic-assisted oesophagectomy for cancer has been increasingly employed worldwide; however, the benefits of this technique compared to conventional minimally invasive are unclear. Since 2016, hybrid robotic (R-HMIE) replaced laparoscopic (HMIE) as standard care in our institution. The aim study was compare these procedures. METHODS Over a 10-year period, 686 patients underwent at Out patients, 128 with were treated technique. Each patient who R-HMIE matched according gender, age, comorbidity, American Society Anesthesiologists classification, Union International Contre le Cancer stage, localization, histology and neoadjuvant treatment HMIE. Perioperative parameters extracted from database between 2 groups. RESULTS After matching procedure, 88 included study. Between HMIE R-HMIE, no significant differences (P > 0.05) found operating time (median 281 vs 300 min), R0 resection rate (n = 42 42), harvested lymph nodes 28 24), hospital stay 19 17 days) intensive unit 7 6.5 days). Regarding surgical complications, difference could be observed either 44). CONCLUSIONS Minimally remains challenging operation high morbidity even high-volume According intra- short-term results, we have