{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,20]],"date-time":"2026-08-20T11:13:57Z","timestamp":1787224437975,"version":"build-2736575974"},"reference-count":6,"publisher":"Georg Thieme Verlag KG","issue":"08","license":[{"start":{"date-parts":[[2024,8,29]],"date-time":"2024-08-29T00:00:00Z","timestamp":1724889600000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Thorac Cardiovasc Surg"],"published-print":{"date-parts":[[2024,12]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p>Minimally invasive esophagectomies, including robot-assisted procedures, have demonstrated superiority over traditional open surgery. Despite the prevalence of transhiatal and transthoracic approaches, cervical access is less common in minimally invasive esophageal surgery. Advancements in robotic systems, such as the da Vinci Single Port (SP), enable controlled transcervical extrapleural mediastinoscopic access, potentially reducing pulmonary complications and extending surgical options to patients with comorbidities. The da Vinci SP robot-assisted cervical esophagectomy (SP-RACE) employs an SP and laparoscopic approach, demonstrating feasibility with comparable lymphadenectomy and recurrent nerve palsy rates to transthoracic methods. This technique, performed for the first time in Europe at the University Hospital Mainz, involves a transcervical SP phase that allows for effective mediastinal dissection and esophageal mobilization. Despite technical challenges due to limited space, robotic systems enhance controlled access and eliminate arm collision. The da Vinci SP platform's advantages include improved triangulation, fewer interferences, and better control of instruments in confined spaces. This novel approach shows promise for patients with high esophageal tumors and those unsuitable for transthoracic surgery, warranting further investigation into its clinical utility and reproducibility.<\/jats:p>","DOI":"10.1055\/a-2405-2708","type":"journal-article","created":{"date-parts":[[2024,9,29]],"date-time":"2024-09-29T22:33:54Z","timestamp":1727649234000},"page":"654-658","source":"Crossref","is-referenced-by-count":23,"title":["Single-Port da Vinci Robot\u2013Assisted Cervical Esophagectomy: How to Do It"],"prefix":"10.1055","volume":"72","author":[{"given":"Edin","family":"Hadzijusufovic","sequence":"first","affiliation":[{"name":"Department of General, Visceral and Transplantation Surgery, University Medical Center of the Johannes Gutenberg University Mainz, Mainz, Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Vladimir J.","family":"Lozanovski","sequence":"first","affiliation":[{"name":"Department of General, Visceral and Transplantation Surgery, University Medical Center of the Johannes Gutenberg University Mainz, Mainz, Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Eva-Verena","family":"Griemert","sequence":"additional","affiliation":[{"name":"Department of Anesthesia, University Medical Center of the Johannes Gutenberg University Mainz, Mainz, Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Luca","family":"Bellaio","sequence":"additional","affiliation":[{"name":"Department of General, Visceral and Transplantation Surgery, University Medical Center of the Johannes Gutenberg University Mainz, Mainz, Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hauke","family":"Lang","sequence":"additional","affiliation":[{"name":"Department of General, Visceral and Transplantation Surgery, University Medical Center of the Johannes Gutenberg University Mainz, Mainz, Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1859-9213","authenticated-orcid":false,"given":"Peter P.","family":"Grimminger","sequence":"additional","affiliation":[{"name":"Department of General, Visceral and Transplantation Surgery, University Medical Center of the Johannes Gutenberg University Mainz, Mainz, Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"194","published-online":{"date-parts":[[2024,9,29]]},"reference":[{"issue":"05","key":"ref1","doi-asserted-by":"crossref","first-page":"407","DOI":"10.1055\/s-0038-1636933","article-title":"The da Vinci Xi robotic four-arm approach for robotic-assisted minimally invasive esophagectomy","volume":"66","author":"P P Grimminger","year":"2018","journal-title":"Thorac Cardiovasc Surg"},{"issue":"04","key":"ref2","doi-asserted-by":"crossref","first-page":"e7","DOI":"10.1016\/j.jamcollsurg.2009.01.018","article-title":"Transcervical superior mediastinal lymph node dissection combined with transhiatal lower esophageal dissection before transthoracic esophagectomy: a safe approach for salvage esophagectomy","volume":"208","author":"M Watanabe","year":"2009","journal-title":"J Am Coll Surg"},{"issue":"03","key":"ref3","doi-asserted-by":"crossref","first-page":"198","DOI":"10.1055\/s-0040-1716323","article-title":"Transcervical (SP) and transhiatal DaVinci robotic esophagectomy: a cadaveric study","volume":"69","author":"P van der Sluis","year":"2021","journal-title":"Thorac Cardiovasc Surg"},{"key":"ref4","doi-asserted-by":"crossref","first-page":"3572","DOI":"10.3390\/app9173572","article-title":"Feasibility of transcervical robotic-assisted esophagectomy (TC-RAMIE) in a cadaver study-a future outlook for an extrapleural approach","volume":"9","author":"P P Grimminger","year":"2019","journal-title":"Appl Sci (Basel)"},{"issue":"12","key":"ref5","doi-asserted-by":"crossref","first-page":"128","DOI":"10.1093\/dote\/doaa128","article-title":"Surgical anatomy of the upper esophagus related to robot-assisted cervical esophagectomy","volume":"34","author":"T Wedel","year":"2021","journal-title":"Dis Esophagus"},{"issue":"04","key":"ref6","first-page":"72","article-title":"The surgical anatomy of a (robot-assisted) minimally invasive transcervical esophagectomy","volume":"36","author":"I CLJ Filz von Reiterdank","year":"2023","journal-title":"Dis Esophagus"}],"container-title":["The Thoracic and Cardiovascular Surgeon"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/www.thieme-connect.de\/products\/ejournals\/pdf\/10.1055\/a-2405-2708.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2024,11,26]],"date-time":"2024-11-26T23:43:36Z","timestamp":1732664616000},"score":1,"resource":{"primary":{"URL":"http:\/\/www.thieme-connect.de\/DOI\/DOI?10.1055\/a-2405-2708"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,8,29]]},"references-count":6,"journal-issue":{"issue":"08","published-online":{"date-parts":[[2024,11,26]]},"published-print":{"date-parts":[[2024,12]]}},"URL":"https:\/\/doi.org\/10.1055\/a-2405-2708","archive":["Portico","CLOCKSS"],"relation":{},"ISSN":["0171-6425","1439-1902"],"issn-type":[{"value":"0171-6425","type":"print"},{"value":"1439-1902","type":"electronic"}],"subject":[],"published-other":{"date-parts":[[2024,8,29]]},"published":{"date-parts":[[2024,8,29]]}}}