{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,30]],"date-time":"2026-07-30T06:03:58Z","timestamp":1785391438899,"version":"3.55.0"},"reference-count":30,"publisher":"Wiley","issue":"7","license":[{"start":{"date-parts":[[2012,3,6]],"date-time":"2012-03-06T00:00:00Z","timestamp":1330992000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2012,3,6]],"date-time":"2012-03-06T00:00:00Z","timestamp":1330992000000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/www.springer.com\/tdm"},{"start":{"date-parts":[[2012,3,6]],"date-time":"2012-03-06T00:00:00Z","timestamp":1330992000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/www.springer.com\/tdm"}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["World j. surg."],"published-print":{"date-parts":[[2012,7]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>Meticulous mediastinal lymphadenectomy frequently induces recurrent laryngeal nerve palsy (RLNP). Surgical robots with impressive dexterity and precise dissection skills have been developed to help surgeons perform operations. The objective of this study was to determine the impact on short\u2010term outcomes of robot\u2010assisted thoracoscopic radical esophagectomy performed on patients in the prone position for the treatment of esophageal squamous cell carcinoma, including its impact on RLNP.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>A single\u2010institution nonrandomized prospective study was performed. The patients (<jats:italic>n<\/jats:italic> = 36) with resectable esophageal squamous cell carcinoma were divided into two groups: patients who agreed to robot\u2010assisted thoracoscopic esophagectomy with total mediastinal lymphadenectomy performed in the prone position (<jats:italic>n<\/jats:italic> = 16, robot\u2010assisted group) without insurance reimbursement, and those who agreed to undergo the same operation without robot assistance but with health insurance coverage (<jats:italic>n<\/jats:italic> = 20, control group). These patients were observed for 30\u00a0days following surgery to assess short\u2010term surgical outcomes, including the incidence of vocal cord palsy, hoarseness, and aspiration.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Robot assistance significantly reduced the incidence of vocal cord palsy (<jats:italic>p<\/jats:italic> = 0.018) and hoarseness (<jats:italic>p<\/jats:italic> = 0.015) and the time on the ventilator (<jats:italic>p<\/jats:italic> = 0.025). There was no in\u2010hospital mortality in either group. There were no significant differences between the two groups with respect to patient background, except for the use of preoperative therapy (robot\u2010assisted group &lt;control, <jats:italic>p<\/jats:italic> = 0.003). There were no significant differences in estimated blood loss, operating time, number of dissected lymph nodes, completeness of resection, or the incidence of the other complications, except for anastomotic leakage (<jats:italic>p<\/jats:italic> = 0.038).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>Robot\u2010assisted thoracoscopic esophagectomy with total mediastinal lymphadenectomy is feasible and safe. This method shows promise in preventing RLNP.<\/jats:p><\/jats:sec>","DOI":"10.1007\/s00268-012-1538-8","type":"journal-article","created":{"date-parts":[[2012,3,6]],"date-time":"2012-03-06T00:20:08Z","timestamp":1330993208000},"page":"1608-1616","update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":132,"title":["Robot\u2010assisted Thoracoscopic Lymphadenectomy Along the Left Recurrent Laryngeal Nerve for Esophageal Squamous Cell Carcinoma in the Prone Position: Technical Report and Short\u2010term Outcomes"],"prefix":"10.1002","volume":"36","author":[{"given":"Koichi","family":"Suda","sequence":"first","affiliation":[{"name":"Division of Upper GI, Department of Surgery Fujita Health University 1\u201098 Dengakugakubo, Kutsukake 470\u20101192 Toyoake Aichi Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yoshinori","family":"Ishida","sequence":"additional","affiliation":[{"name":"Division of Upper GI, Department of Surgery Fujita Health University 1\u201098 Dengakugakubo, Kutsukake 470\u20101192 Toyoake Aichi Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yuichiro","family":"Kawamura","sequence":"additional","affiliation":[{"name":"Division of Upper GI, Department of Surgery Fujita Health University 1\u201098 Dengakugakubo, Kutsukake 470\u20101192 Toyoake Aichi Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kazuki","family":"Inaba","sequence":"additional","affiliation":[{"name":"Division of Upper GI, Department of Surgery Fujita Health University 1\u201098 Dengakugakubo, Kutsukake 470\u20101192 Toyoake Aichi Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Seiichiro","family":"Kanaya","sequence":"additional","affiliation":[{"name":"Department of GI Surgery Osaka Red Cross Hospital 5\u201030 Fudegasaki 543\u20108555 Tennouji Osaka Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Satoshi","family":"Teramukai","sequence":"additional","affiliation":[{"name":"Translational Research Center Kyoto University Hospital 54 Kawaharacho, Shogoin 606\u20108507 Sakyo\u2010ku Kyoto Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Seiji","family":"Satoh","sequence":"additional","affiliation":[{"name":"Division of Upper GI, Department of Surgery Fujita Health University 1\u201098 Dengakugakubo, Kutsukake 470\u20101192 Toyoake Aichi Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ichiro","family":"Uyama","sequence":"additional","affiliation":[{"name":"Division of Upper GI, Department of Surgery Fujita Health University 1\u201098 Dengakugakubo, Kutsukake 470\u20101192 Toyoake Aichi Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2012,3,6]]},"reference":[{"key":"e_1_2_6_2_2","first-page":"328","article-title":"Three\u2010field dissection for squamous cell carcinoma in the thoracic esophagus","volume":"8","author":"Fujita H","year":"2002","journal-title":"Ann Thorac Cardiovasc Surg"},{"key":"e_1_2_6_3_2","doi-asserted-by":"publisher","DOI":"10.1093\/dote\/7.3.151"},{"key":"e_1_2_6_4_2","first-page":"30","article-title":"Resective surgery for cancer of the thoracic esophagus: results of a Consensus Conference held at the 6th World Congress of the International Society for Diseases of the Esophagus","volume":"9","author":"Fumagalli U","year":"1996","journal-title":"Dis Esophagus"},{"key":"e_1_2_6_5_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.ejso.2004.10.007"},{"key":"e_1_2_6_6_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00268\u2010010\u20100692\u20100"},{"key":"e_1_2_6_7_2","doi-asserted-by":"publisher","DOI":"10.1097\/00000658\u2010199511000\u201000008"},{"key":"e_1_2_6_8_2","doi-asserted-by":"publisher","DOI":"10.1093\/dote\/5.2.69"},{"key":"e_1_2_6_9_2","doi-asserted-by":"publisher","DOI":"10.1097\/00000658\u2010199403000\u201000012"},{"key":"e_1_2_6_10_2","doi-asserted-by":"publisher","DOI":"10.1159\/000226971"},{"key":"e_1_2_6_11_2","doi-asserted-by":"publisher","DOI":"10.1016\/S1072\u20107515(98)00013\u20101"},{"key":"e_1_2_6_12_2","doi-asserted-by":"crossref","first-page":"79","DOI":"10.1093\/dote\/5.2.79","article-title":"Extensive lymph node dissection for thoracic esophageal carcinoma","volume":"5","author":"Nishihira T","year":"1992","journal-title":"Dis Esophagus"},{"key":"e_1_2_6_13_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0196\u20100709(98)90060\u20106"},{"key":"e_1_2_6_14_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00464\u2010010\u20101072\u20104"},{"key":"e_1_2_6_15_2","doi-asserted-by":"publisher","DOI":"10.1002\/bjs.6647"},{"key":"e_1_2_6_16_2","doi-asserted-by":"publisher","DOI":"10.1308\/003588402320439621"},{"key":"e_1_2_6_17_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.amjsurg.2004.08.025"},{"key":"e_1_2_6_18_2","unstructured":"Ministry of Health Labor and Welfare.Annual health labor and welfare report 2009\u20102010. Available athttp:\/\/www.mhlw.go.jp\/english\/wp\/wp\u2010hw4\/02.html(accessed)"},{"key":"e_1_2_6_19_2","doi-asserted-by":"publisher","DOI":"10.1097\/00000421\u2010198212000\u201000014"},{"key":"e_1_2_6_20_2","doi-asserted-by":"publisher","DOI":"10.1111\/j.1442\u20102050.2007.00699.x"},{"key":"e_1_2_6_21_2","doi-asserted-by":"publisher","DOI":"10.1245\/s10434\u2010010\u20101024\u20101"},{"key":"e_1_2_6_22_2","first-page":"660","volume-title":"Esophageal cancer: principles and practice","author":"Engstad K","year":"2009"},{"key":"e_1_2_6_23_2","doi-asserted-by":"publisher","DOI":"10.1093\/dote\/11.1.28"},{"key":"e_1_2_6_24_2","doi-asserted-by":"publisher","DOI":"10.1097\/00000658\u2010199409000\u201000012"},{"key":"e_1_2_6_25_2","doi-asserted-by":"publisher","DOI":"10.1007\/978\u20103\u2010642\u201059600\u20101_13"},{"key":"e_1_2_6_26_2","doi-asserted-by":"publisher","DOI":"10.1046\/j.1442\u20102050.2001.00206.x"},{"key":"e_1_2_6_27_2","first-page":"325","article-title":"Outcomes of extensive lymph node dissection for squamous cell carcinoma of the thoracic esophagus","volume":"7","author":"Tsurumaru M","year":"2001","journal-title":"Ann Thoracic Cardiovasc Surg"},{"key":"e_1_2_6_28_2","doi-asserted-by":"publisher","DOI":"10.1007\/BF01366932"},{"key":"e_1_2_6_29_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00464\u2010005\u20100674\u20108"},{"key":"e_1_2_6_30_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00464\u2010007\u20109405\u20107"},{"key":"e_1_2_6_31_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jtcvs.2009.05.030"}],"container-title":["World Journal of Surgery"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/link.springer.com\/content\/pdf\/10.1007\/s00268-012-1538-8.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"http:\/\/link.springer.com\/article\/10.1007\/s00268-012-1538-8\/fulltext.html","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1007\/s00268-012-1538-8","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"},{"URL":"http:\/\/link.springer.com\/content\/pdf\/10.1007\/s00268-012-1538-8.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,12,26]],"date-time":"2023-12-26T19:34:31Z","timestamp":1703619271000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1007\/s00268-012-1538-8"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2012,3,6]]},"references-count":30,"journal-issue":{"issue":"7","published-print":{"date-parts":[[2012,7]]}},"alternative-id":["10.1007\/s00268-012-1538-8"],"URL":"https:\/\/doi.org\/10.1007\/s00268-012-1538-8","archive":["Portico"],"relation":{},"ISSN":["0364-2313","1432-2323"],"issn-type":[{"value":"0364-2313","type":"print"},{"value":"1432-2323","type":"electronic"}],"subject":[],"published":{"date-parts":[[2012,3,6]]},"assertion":[{"value":"6 March 2012","order":1,"name":"first_online","label":"First Online","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"This content has been made available to all.","name":"free","label":"Free to read"}]}}