P1.196. Short-Term Outcomes of Robot-Assisted Versus Conventional Thoracoscopic Esophagectomy: A Nationwide Inpatient Database Study in Japan

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ID: 326104
2026
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Ranked #253 of 453 articles by views in diseases of the esophagus : official journal of the international society for diseases of the esophagus

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Abstract
Abstract Topic Esophageal Cancer: Surgical Treatment of Esophageal Cancer – early outcomes and complications Background Although the clinical application of robot-assisted esophagectomy (RE) has increased globally, its advantages over conventional thoracoscopic esophagectomy (TE) remain unclear. The aim of this study was to evaluate the short-term outcomes of RE compared with TE in patients with esophageal cancer in a nationwide cohort. Methods We retrospectively analyzed patients who underwent RE or TE for esophageal cancer between April 2018 and March 2022 by extracting data from the Diagnosis Procedure Combination, a Japanese national inpatient database. Instrumental variable analysis was employed to compare the short-term outcomes between the two groups. The primary outcomes included respiratory complications and unplanned reintubation. Results Among 7003 eligible patients from 69 hospitals, 1971 (28.1%) and 5032 (71.9%) underwent RE and TE, respectively. Respiratory complications, unplanned reintubation, and anastomotic leakage occurred in 1501 (21.4%), 475 (6.8%), and 904 patients (12.9%), respectively. Instrumental variable analysis demonstrated that the incidence of respiratory complications [odds ratio 0.65 (95% CI: 0.52–0.81) P < 0.001], unplanned reintubation [0.44 (0.31–0.62) P < 0.001], and anastomotic leakage [0.73 (0.56–0.94) P = 0.013] was significantly lower in the RE group compared with the TE group. Conclusion RE was associated with better short-term outcomes, including fewer respiratory complications, unplanned reintubation, and anastomotic leakage, compared with TE.
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Authors Daisuke Kurita, Yasuyuki Seto, Yuki Hirano, Ryota Kakuta, Ryoko Nozaki, Shota Igaue, Eigo Akimoto, Daichi Utsunomiya, Koshiro Ishiyama, Hideo Yasunaga, Hiroyuki Daiko
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Journal diseases of the esophagus : official journal of the international society for diseases of the esophagus
Year 2026
DOI
10.1093/dote/doag077.344
URL
https://academic.oup.com/dote/article-pdf/39/Supplement_1/doag077.344/70760889/doag077.344.pdf
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