Journal of Chest Surgery

The Korean Society for Thoracic and Cardiovascular Surgery (대한심장혈관흉부외과학회)
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da Vinci Robot-Assisted Esophagectomy for Esophageal Cancer: A Case of Esophago-gastrostomy through the Retrosternal Route - A case report -

식도암 환자에서 da Vinci 로봇을 이용한 식도암 수술 (흉골하 통로를 통한 식도-위 문합술) - 1예 보고 -

  • Jeong, Sang-Seok (Department of Thoracic and Cardiovascular Surgery, Dong-A University Medical Center, College of Medicine, DongA University) ;
  • Choi, Pill-Jo (Department of Thoracic and Cardiovascular Surgery, Dong-A University Medical Center, College of Medicine, DongA University) ;
  • Woo, Jong-Soo (Department of Thoracic and Cardiovascular Surgery, Dong-A University Medical Center, College of Medicine, DongA University) ;
  • Kim, Si-Ho (Department of Thoracic and Cardiovascular Surgery, Dong-A University Medical Center, College of Medicine, DongA University) ;
  • Bang, Jung-Hee (Department of Thoracic and Cardiovascular Surgery, Dong-A University Medical Center, College of Medicine, DongA University) ;
  • Park, Kwon-Jae (Department of Thoracic and Cardiovascular Surgery, Dong-A University Medical Center, College of Medicine, DongA University)
  • 정상석 (동아대학교 의과대학 동아대학교병원 흉부외과학교실) ;
  • 최필조 (동아대학교 의과대학 동아대학교병원 흉부외과학교실) ;
  • 우종수 (동아대학교 의과대학 동아대학교병원 흉부외과학교실) ;
  • 김시호 (동아대학교 의과대학 동아대학교병원 흉부외과학교실) ;
  • 방정희 (동아대학교 의과대학 동아대학교병원 흉부외과학교실) ;
  • 박권재 (동아대학교 의과대학 동아대학교병원 흉부외과학교실)
  • Published : 2009.06.05
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Abstract

Operations using the da Vinci robot have performed in for many surgeries, but the adoption of robotics to general thoracic surgery has been slow. The patient (age 74, male) visited our hospital complaining of hiccups and dysphagia. The CT scan and endoscopic biopsy revealed esophageal cancer (squamous cell carcinoma). We performed transthoracic esophagectomy using a da Vinci robot and this was followed by gastric tube mobilization via laparoscopy. Cervical esophago-gastric anastomosis was done using the hand-sewn method. The gastric tube was brought into the neck through the retrosternal route. The patient was discharged without any complications. We report here on a case of successful da Vinci robotic esophgagectomy.

다빈치 로봇수술은 현재 다양한 외과영역에서 시행되고 있으나 폐, 식도 외과영역에서는 아직까지 널리 이용되지 않고 있다. 본원에서는 74세 남자환자가 딸꾹질과 연하곤란을 주소로 내원하여 시행한 검사에서 식도암으로 진단되어 da Vinci 로봇을 이용하여 식도절제술을 시행한 후, 복강경으로 위장튜브를 만들어 흉골하 통로를 통해 경부에서 위장-식도 단단 문합을 시행하였다. 환자는 수술 후 특별한 합병증 없이 완쾌 퇴원하였다. 향후 다빈치로봇을 이용한 최소 침습수술이 식도암을 비롯한 폐, 식도외과 영역에의 활용에 있어서 좋은 결과가 기대되므로 보고하는 바이다.

Keywords

References

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