Jagdishwar Gajagowni, MSMchsurgical, oncology
KRISHNA INSTITUTE OF MEDICAL SCIENCES
We hereby intend to show in our video presentation a case of robotically assisted total esophagectomy. It was performed in our institute on a 33yr old lady presenting with a 5 month history of progressive dysphagia. Preoperative workup in terms of a barium swallow and contrast enhanced CT-scan were done, it was suggestive of multiple leiomyomata involving whole of esophagus.
Patient was operated in a prone position with two 8mm robotic ports and an assistant port. We used a zero degree camera through a 12mm port.With the use of a monopolar scissor and a bipolar grasper the whole of esophagus was mobilised upto the hiatus. The azygous vein was clipped with haemlocks and divided. The reconstruction was done with a mobilised stappled gastric conduit and anastomosed with cervical esophagus in single layer using 3-O PDS.The patient was discharged on 6th postoperative day and oral intake was started on 10th postoperative day.
We havebeen performing robotically assisted total esophageal mobilisation for operable carcinoma esophagus in our institute over last 1 year.
Session: Video Channel Day 1
Program Number: V044