Standardized Approach to Robotic Assisted Esophagectomy

H. J. Soukiasian¹, L. Weiser¹, A. R. Brownlee^2
1Cedars Sinai Medical Center, Los Angeles, California ²Cedars-Sinai Medical Center, Los Angeles, California

Please explain the educational or technical point that this video addresses.: This video demonstrates a standardized approach to robotic assisted Ivor-Lewis esophagectomy. An emphasis is made on demonstrating the key and challenging technical aspects to the procedure. We demonstrate how a thorough celiac and hiatal nodal dissection helps with the safe identification of the relevant anatomy. Techniques for managing significant post-therapy treatment effect are discussed. The modified Collard anastomosis is demonstrated in detail.

Please provide a 250 word summary of the surgical video being submitted.: This video demonstrates the case of a 67-year-old male who presented with dysphagia and was found to have a distal esophageal adenocarcinoma staged as cT3N0. He underwent induction chemoradiotherapy and was noted on repeat PET CT to have a good treatment response. He underwent an elective robotic assisted Ivor Lewis esophagectomy. The video demonstrates key steps to the operation as well as important relational anatomy using image overlays.