NCM116 Journalreading MONLEON
NCM116 Journalreading MONLEON
NCM116 Journalreading MONLEON
JOURNAL READING
Submitted to:
Rizza G. Francisco RN. MN.
Clinical Instructor
Submitted by:
Aizel Mae A. Monleon,SN
Robotic-assisted minimally invasive esophagectomy (RAMIE)
Summary
Esophageal cancer is a malignancy that develops in the esophagus, the muscular tube that
connects the throat to the stomach. This type of cancer is relatively uncommon, but it can be
aggressive and is often diagnosed at an advanced stage, which can make treatment more difficult.
Mr. Rudy Bland is diagnosed with Esophageal cancer, specifically Adenocarcinoma.
Traditionally, patients facing esophageal cancer endured a grueling process of treatment,
including a prolonged hospital stay and weeks of reliance on a feeding tube and other
medications. A patient diagnosed with esophageal cancer is recommended to have the extremely-
invasive surgery called "Esophagectomy." This surgery is described as "one of the biggest
surgeries there is," according to Dr. Samuel Kim, a Respiratory (Thoracic) Medicine Doctor, as
the patient typically spends around 13 days or more in the hospital post-operation.
Dr. Kim proudly shares that this innovative technique in surgery is a modified robotic procedure;
Dr. Kim makes several small incisions in the belly to insert tiny instruments controlled by
mechanical arms. "We're working underneath the breastbone without cutting any breastbone or
making any chest incision," Dr. Kim said.
Once the diseased part of the esophagus is removed, he stretches the upper portion of the
stomach to construct a new passageway for food and liquids. The two parts are connected
through an incision in the neck. This surgery has significantly reduced the hospitalization period
to a mere two or three days. This groundbreaking surgery proved to be a life-altering intervention
for individuals like Mr. Rudy Bland.
Nursing Implication
Dr. Samuel Kim discovered this innovative robotic surgery procedure that cuts the
hospital stay of patient who undergo surgery from 13 days to just 2 or 3 days This gives nurses
an opportunity to provide more concentrated and efficient postoperative care, which can enhance
resource utilization.
Since patients are discharged earlier, nurses need to plan their postoperative care differently.
Nurses must ensure that patients receive intensive support and monitoring during the shorter
recovery period. Nurses also need to educate patients about the advanced robotic procedure,
potential post-surgery challenges, and the importance of following discharge instructions for
better compliance with follow-up care and Nurses should work with patients and their families to
facilitate a smooth transition from hospital to home care to an overall recovery.
I have learned that there is a great factor that every major innovations in the Medical field, it is
important that there is a continuous learning and training for nursing staff to stay updated on the
latest advancements, robotic procedures, and postoperative care protocols, ensuring to deliver the
highest standard of care for patients undergoing these transformative procedures.
In summary, the new robotic procedure revolutionizes esophageal cancer treatment and calls for
a shift in nursing practice towards efficient, patient-centered, and holistic care during a shorter
recovery period.
Reference:
Watanabe, M., Kuriyama, K., Terayama, M., Okamura, A., Kanamori, J., & Imamura, Y. (2023,
January 1). Robotic-Assisted Esophagectomy: Current Situation and Future Perspectives. Annals
of Thoracic and Cardiovascular Surgery. https://doi.org/10.5761/atcs.ra.23-00064
https://wgntv.com/news/medical-watch/new-approach-to-treating-esophagus-cancer-eases-
recovery/