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Peek et al. Mini-invasive Surg 2024;8:11 Mini-invasive Surgery
DOI: 10.20517/2574-1225.2024.47

Editorial Open Access

Robotic trans-hiatal esophagectomy chapter

George Peek, Sharona B Ross

Digestive Health Institute, Tampa, FL 33613, USA.
Correspondence to: Dr. Sharona B Ross, MD, FACS, Digestive Health Institute, 3000 East Fletcher Avenue, Tampa, FL 33613,
USA. E-mail: mysharonaross@gmail.com

How to cite this article: Peek G, Ross SB. Robotic trans-hiatal esophagectomy chapter. Mini-invasive Surg 2024;8:11. https://dx.
doi.org/10.20517/2574-1225.2024.47
Received: 14 May 2024 Accepted: 29 May 2024 Published: 11 Jul 2024

Academic Editor: Giulio Belli Copy Editor: Dong-Li Li Production Editor: Dong-Li Li

Esophageal cancer represents a formidable malignancy and stands as a significant contributor to cancer-
associated mortality globally. Ranked as the eighth most prevalent cancer and the sixth leading cause of
cancer-related deaths, its impact is underscored by two primary histological classifications: squamous cell
carcinoma and adenocarcinoma. Particularly notable in the United States and numerous Western nations is
the predominance of adenocarcinoma, a trend paralleled by an increased incidence of obesity,
gastroesophageal reflux disease, and Barrett’s esophagus . For individuals diagnosed with advanced-stage
[1]
carcinoma, the prevailing treatment modality involves a multimodal approach comprising chemotherapy
and radiation, followed by surgical intervention, which remains the cornerstone of management for the
majority of patients.

Early efforts to address esophageal disorders date back to the 17th century, characterized by rudimentary
procedures such as using whale bones for dilation in patients with benign esophageal strictures .
[2]
Progressing to 1913, Franz Torek of New York achieved acclaim for performing the first successful open
esophagectomy for intrathoracic esophageal cancer. Notably, Torek also introduced double-lumen
[3]
intubation, a development credited with significantly reducing postoperative mortality rates .
Subsequently, in 1933, Grey Turner of the United Kingdom conducted the inaugural successful open Trans-
hiatal esophagectomy (THE), initially overshadowed by the transthoracic approach due to the advent of
general anesthesia . However, in 1978, Dr. Orringer revitalized interest in the transhiatal method, aiming to
[4]
mitigate pulmonary complications, a primary concern of the transthoracic approach, by advocating for a
thoracic incision-free procedure, thus minimizing the risks of anastomotic leak . The rising prevalence of
[5]

© The Author(s) 2024. Open Access This article is licensed under a Creative Commons Attribution 4.0
International License (https://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, sharing,
adaptation, distribution and reproduction in any medium or format, for any purpose, even commercially, as
long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and
indicate if changes were made.

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