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Thorac Cardiovasc Surg 2018; 66(05): 407-409
DOI: 10.1055/s-0038-1636933
DOI: 10.1055/s-0038-1636933
How to Do It
The da Vinci Xi Robotic Four-Arm Approach for Robotic-Assisted Minimally Invasive Esophagectomy
Further Information
Publication History
15 December 2017
19 January 2018
Publication Date:
06 April 2018 (online)
Abstract
Robotic surgery is gaining importance in complex thoracoscopic surgery, such as robotic-assisted minimally invasive esophagectomy (RAMIE). The RAMIE procedure was designed using the first generation of the robotic system. The latest da Vinci Xi system has substantially increased the dexterity, especially designed for multiquadrant surgery. The original three-arm RAMIE approach was modified including the robotic four-arm use for the thoracoscopic and laparoscopic part of the operation. This extended approach (four-arm RAMIE approach) provides more flexibility and raises the independence of the surgeon.