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Robotic vs. Traditional Keyhole Surgery for Esophageal Cancer: What Works Best?

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Comparative analysis of robot-assisted minimally invasive esophagectomy versus conventional minimally invasive esophagectomy. DOI 10.1007s11701-025-03068-9

Esophageal cancer is often treated with surgery to remove the tumor. Doctors can now use smaller cuts and special tools to perform this operation. This is called minimally invasive esophagectomy. There are two main types: one uses a robot (RAMIE), and the other is done by hand with small tools (cMIE).

This new research looked at results from about 8,900 patients. It found that both methods are safe. There was no difference in death rates or major problems after surgery. But there were some key differences.

RAMIE took longer to complete, but it helped doctors remove more lymph nodes, which is important for checking cancer spread. Patients who had RAMIE lost slightly less blood and stayed fewer days in the hospital. There was also a small sign that RAMIE may cause fewer lung problems and less nerve damage to the voice box area.

On the other hand, patients who had RAMIE spent more time in intensive care. The surgery time was longer too. But overall, the benefits and safety were similar between both methods.

This study shows both options work well. The best choice depends on the hospital’s experience and the surgeon’s skills. Patients can talk to their care team to choose what fits best for them.

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Dr Harsh Shah - GI & HPB Oncosurgeon in Ahmeadbad
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