{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,2]],"date-time":"2026-08-02T16:24:40Z","timestamp":1785687880158,"version":"3.56.0"},"reference-count":49,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2017,8,14]],"date-time":"2017-08-14T00:00:00Z","timestamp":1502668800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Annals of Gastroent Surgery"],"published-print":{"date-parts":[[2017,9]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p>Since the introduction of robotic systems in esophageal surgery in 2000, the number of robotic esophagectomies has been gradually increasing worldwide, although robot\u2010assisted surgery is not yet regarded as standard treatment for esophageal cancer, because of its high cost and the paucity of high\u2010level evidence. In 2016, more than 1800 cases were operated with robot assistance. Early results with small series demonstrated feasibility and safety in both robotic transhiatal (<jats:styled-content style=\"fixed-case\">THE<\/jats:styled-content>) and transthoracic esophagectomies (<jats:styled-content style=\"fixed-case\">TTE<\/jats:styled-content>). Some studies report that the learning curve is approximately 20 cases. Following the initial series, operative results of robotic <jats:styled-content style=\"fixed-case\">TTE<\/jats:styled-content> have shown a tendency to improve, and oncological long\u2010term results are reported to be effective and acceptable: R0 resection approaches 95%, and locoregional recurrence is rare. Several recent studies have demonstrated advantages of robotic esophagectomy in lymphadenectomy compared with the thoracoscopic approach. Such technical innovations as three\u2010dimensional view, articulated instruments with seven degrees of movement, tremor filter etc. have the potential to outperform any conventional procedures. With the aim of preventing postoperative pulmonary complications without diminishing lymphadenectomy performance, a nontransthoracic radical esophagectomy procedure combining a video\u2010assisted cervical approach for the upper mediastinum and a robot\u2010assisted transhiatal approach for the middle and lower mediastinum, transmediastinal esophagectomy, was developed; its short\u2010term outcomes are promising.<\/jats:p><jats:p>Thus, the merits or demerits of robotic surgery in this field remain quite difficult to assess. However, in the near future, the merits will definitely outweigh the demerits because the esophagus is an ideal organ for a robotic approach.<\/jats:p>","DOI":"10.1002\/ags3.12028","type":"journal-article","created":{"date-parts":[[2017,8,14]],"date-time":"2017-08-14T09:18:41Z","timestamp":1502702321000},"page":"193-198","source":"Crossref","is-referenced-by-count":26,"title":["Robotic surgery for esophageal cancer: Merits and demerits"],"prefix":"10.1002","volume":"1","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-6953-8752","authenticated-orcid":false,"given":"Yasuyuki","family":"Seto","sequence":"first","affiliation":[{"name":"Department of Gastrointestinal Surgery The University of Tokyo Hospital Tokyo Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9275-3258","authenticated-orcid":false,"given":"Kazuhiko","family":"Mori","sequence":"additional","affiliation":[{"name":"Department of Surgery Mitsui Memorial Hospital Tokyo 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