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Ivor Lewis Robotic Assisted Minimally Invasive Esophagectomy (RAMIE): The University of Pittsburgh Technique

  • Gino M. Kuiper
    Affiliations
    Department of Cardiothoracic Surgery, University of Pittsburgh School of Medicine and the University of Pittsburgh Medical Center, Pittsburgh, PA

    Department of Surgery, University Medical Center Utrecht, Utrecht, The Netherlands
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  • James D. Luketich
    Affiliations
    Department of Cardiothoracic Surgery, University of Pittsburgh School of Medicine and the University of Pittsburgh Medical Center, Pittsburgh, PA
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  • Inderpal S. Sarkaria
    Correspondence
    Address reprint requests to: Inderpal S. Sarkaria, MD, MBA, University of Pittsburgh, Department of Cardiothoracic Surgery, Shadyside Medical Building, 5200 Center Ave., Suite 715, Pittsburgh, PA 15232.
    Affiliations
    Department of Cardiothoracic Surgery, University of Pittsburgh School of Medicine and the University of Pittsburgh Medical Center, Pittsburgh, PA
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      The technique of minimally invasive esophagectomy (MIE) has been improved and utilized widely in the past decades, resulting in improved perioperative outcomes compared to open esophagectomy. Similarly, robotic assisted minimally invasive esophagectomy (RAMIE) has increased in adoption in recent years, offering superior technical advantages and showing promising outcomes. This article details the approach to the RAMIE Ivor Lewis procedure adopted at the University of Pittsburgh Medical Center, including operative insights and challenges.

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