Surgical Insights
Issue 1
Robot Assisted Transcervical Esophagectomy with a Bilateral Cervical Approach for Thoracic Esophagectomy
Supplementary file 1: Video, Supplemental Digital Content 1. Video of right dorsal esophageal dissection with a right cervical approach. Video of right dorsal dissection of the esophagus while exposing the anterior surface of the vertebral body. The preserved thoracic duct can be seen in the left lateral direction.
Supplementary file 2: Video, Supplemental Digital Content 2. Representative scene in which the tracheoesophageal ligament is dissected with a left lateral approach. The tracheoesophageal attachment is dissected from the left side, and the tracheal bifurcation is approached while avoiding the left recurrent nerve ventrally. With a conventional mediastinoscope, there is often interference between the medial right-hand forceps and the left recurrent nerve; however, the multi-joint function of the robotic arm makes it possible to avoid this interference. The nerve integrated monitoring system also shows no decrease in the physiological and electrical activity of the left recurrent nerve.
Laparoscopic Heller Myotomy and Dor Fundoplication for the Treatment of Esophageal Achalasia After Sleeve Gastrectomy—A Video Vignette
