Year 2025 / Volume 117 / Number 10
Letter
Early diagnostic endoscopy and prophylactic stenting after robotic transthoracic esophagectomy — From skepticism to standardization

622-623

DOI: 10.17235/reed.2024.10800/2024

Álvaro Cerezuela Fernández de Palencia, David Ruiz de Angulo Martín, Vicente Munitiz Ruiz, Ana Conesa Pla, Juan Egea Valenzuela, Miriam Alajarin Cervera, María Muñoz Tornero, Luisa Fernanda Martínez de Haro,

Abstract
Dehiscence following esophagectomy for cancer has a mortality rate of 10-40%, prolongs hospital stay, and reduces survival. To prevent it, proper patient selection and surgical techniques that minimize tension and ischemia are essential. Procedures such as ERAS protocols and the use of indocyanine green have improved the detection of well-vascularized areas, but the leak rate still exceeds 10%. In a series of 12 patients who underwent robotic esophagectomy, 45.4% received a prophylactic stent. These patients had a mean hospital stay of 16 days, compared to 53.5 days for those who experienced dehiscence. Early endoscopy and the placement of a prophylactic stent proved to be safe and effective in reducing complications.
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References
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Cerezuela Fernández de Palencia Á, Ruiz de Angulo Martín D, Munitiz Ruiz V, Conesa Pla A, Egea Valenzuela J, Alajarin Cervera M, et all. Early diagnostic endoscopy and prophylactic stenting after robotic transthoracic esophagectomy — From skepticism to standardization. 10800/2024


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Publication history

Received: 15/09/2024

Accepted: 30/09/2024

Online First: 07/11/2024

Published: 10/10/2025

Article Online First time: 53 days

Article editing time: 390 days


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