TPW 7.08 Short-Term Oncological Outcomes of Hybrid Minimally Invasive Oesophagectomy – A Feasibility Study of a Regional Referral Center

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ID: 323904
2026
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Abstract
Abstract Aims The aim of this study is to evaluate the oncological feasibility of hybrid robotic-assisted Ivor-Lewis Oesophagectomy (H-RAILE) against Laparoscopic Assisted Ivor-Lewis Oesophagectomy (H-LAILE) by reporting short term oncological outcomes, with postoperative morbidity and perioperative safety considered as secondary endpoints. Methods This is a single-center retrospective cohort study from a regional referral center for esophago-gastric malignancies in the United Kingdom. Adults undergoing H-RAILE or H-LAILE with curative intent were included. Primary outcomes were lymph node yield and resection margins. Secondary outcomes included postoperative morbidity, anastomotic and chyle leaks, length of stay, return to theatre, six-month recurrence, and early mortality. Results 43 patients were included (H-LAILE, n = 22 and H-RAILE, n = 21). Baseline demographic and clinicopathological characteristics were generally similar, except for nodal status. Mean lymph node yield was 27.05 ± 8.85 in H-LAILE and 27.52 ± 11.81 in H-RAILE, with >85% of patients in both groups achieving >15 nodes. R0 resection rates was achieved in 81.8%, and 71.4% respectively. No significant differences were observed in postoperative morbidity, length of stay, anastomotic leak or chyle leak. H-LAILEH-RAILENumber of Patients2221Lymph node yield27.05 +/- 8.8527.52 +/- 11.81R0 resection rate81.8%71.4% Conclusion H-RAILE appears oncologically feasible, with acceptable short-term lymph node yield, R0 resection rates, and postoperative morbidity in this small, retrospective cohort. Observed outcomes reflect early experience during the learning curve and should be interpreted cautiously. Larger prospective studies with standardized reporting and long-term follow-up are needed to further assess oncological and perioperative outcomes.
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Authors Shantul Hasni, Dimitrios Kechagias, Sameh Abogabal, Suetyee Ong, Mina Younan, Ki Shing Victor Miu
Journal the british journal of surgery
Year 2026
DOI
10.1093/bjs/znag087.378
URL
https://doi.org/10.1093/bjs/znag087.378
Keywords Keywords not found

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