Abstract
Since the first application of laparoscopic surgery for gastric cancer was performed, radical gastrectomy with minimally invasive approach has gained popularity worldwide. However, due to technically demanding procedures of conventional laparoscopic gastrectomy with D2 lymphadenectomy, adoption of laparoscopic gastrectomy for advanced gastric cancer has been limited. To overcome this technical difficulty, several surgeons started the robotic gastrectomy for gastric cancer using the da Vinci® Surgical System (Intuitive Surgical, Sunnyvale, CA, USA). Advantages of robotic surgery for surgeons such as articulating EndoWrist® instruments, an improved 3D magnified operative view, and tremor filtering facilitate more precise and delicate lymph node dissection compared to conventional laparoscopic surgery. Although several retrospective and small prospective studies revealed the feasibility and safety of robotic gastrectomy for gastric cancer, advantages of robotic gastrectomy from an oncologic point of view are still to be clarified. Here, we documented our current practice of robotic surgery for gastric cancer and review of the literatures, as well as the potential advantages of robotic approach, especially for D2 lymphadenectomy.
This is a preview of subscription content, log in via an institution to check access.
Access this chapter
Tax calculation will be finalised at checkout
Purchases are for personal use only
References
Kitano S, Iso Y, Moriyama M et al (1994) Laparoscopy-assisted Billroth I gastrectomy. Surg Laparosc Endosc 4:146–148
Kim HH, Hyung WJ, Cho GS et al (2010) Morbidity and mortality of laparoscopic gastrectomy versus open gastrectomy for gastric cancer: an interim report–a phase III multicenter, prospective, randomized trial (KLASS Trial). Ann Surg 251:417–420
Woo Y, Hyung WJ, Pak KH et al (2011) Robotic gastrectomies offer a sound oncologic surgical alternative for the treatment of early gastric cancers comparing favorably with laparoscopic resections. Arch Surg 146:1086–1092
D’Annibale A, Pende V, Pernazza G et al (2011) Full robotic gastrectomy with extended (D2) lymphadenectomy for gastric cancer: surgical technique and preliminary results. J Surg Res 166:e113–e120
Uyama I, Kanaya S, Ishida Y et al (2012) Novel integrated robotic approach for suprapancreatic D2 nodal dissection for treating gastric cancer: technique and initial experience. World J Surg 36:331–337
Kim MC, Heo GU, Jung GJ (2010) Robotic gastrectomy for gastric cancer: surgical techniques and clinical merits. Surg Endosc 24:610–615
Song J, Oh SJ, Kang WH et al (2009) Robot-assisted gastrectomy with lymph node dissection for gastric cancer: lessons learned from an initial 100 consecutive procedures. Ann Surg 249:927–932
Anderson C, Ellenhorn J, Hellan M et al (2007) Pilot series of robot-assisted laparoscopic subtotal gastrectomy with extended lymphadenectomy for gastric cancer. Surg Endosc 21:1662–1666
Kim KM, An JY, Kim HI et al (2012) Major early complications following open, laparoscopic and robotic gastrectomy. Br J Surg 99:1681–1687
Hashizume M, Sugimachi K (2003) Robot-assisted gastric surgery. Surg Clin N Am 83:1429–1444
Woo Y, Hyung WJ, Kim HI et al (2011) Minimizing hepatic trauma with a novel liver retraction method: a simple liver suspension using gauze suture. Surg Endosc 25:3939–3945
Shinohara T, Kanaya S, Yoshimura F et al (2011) A protective technique for retraction of the liver during laparoscopic gastrectomy for gastric adenocarcinoma: using a Penrose drain. J Gastrointest Surg 15:1043–1048
Kinjo Y, Okabe H, Obama K et al (2011) Elevation of liver function tests after laparoscopic gastrectomy using a Nathanson liver retractor. World J Surg 35:2730–2738
Hur H, Jeon HM, Kim W (2008) Laparoscopic pancreas- and spleen-preserving D2 lymph node dissection in advanced (cT2) upper-third gastric cancer. J Surg Oncol 97:169–172
Hyung WJ, Lim JS, Song J et al (2008) Laparoscopic spleen-preserving splenic hilar lymph node dissection during total gastrectomy for gastric cancer. J Am Coll Surg 207:e6–e11
Sakuramoto S, Kikuchi S, Futawatari N et al (2009) Laparoscopy-assisted pancreas- and spleen-preserving total gastrectomy for gastric cancer as compared with open total gastrectomy. Surg Endosc 23:2416–2423
Marano A, Hyung WJ (2012) Robotic gastrectomy: the current state of the art. J Gastric Cancer 12:63–72
Hyung WJ, Woo YH, Noh SH (2011) Robotic surgery for gastric cancer: a technical review. J Robot Surg 5:241–249
Pugliese R, Maggioni D, Sansonna F et al (2009) Outcomes and survival after laparoscopic gastrectomy for adenocarcinoma. Analysis on 65 patients operated on by conventional or robot-assisted minimal access procedures. Eur J Surg Oncol 35:281–288
Pugliese R, Maggioni D, Sansonna F et al (2010) Subtotal gastrectomy with D2 dissection by minimally invasive surgery for distal adenocarcinoma of the stomach: results and 5-year survival. Surg Endosc 24:2594–2602
Xiong B, Ma L, Zhang C et al (2012) Robotic versus laparoscopic gastrectomy for gastric cancer: a meta-analysis of short outcomes. Surg Oncol 21:274–280
Noshiro H, Nagai E, Shimizu S et al (2005) Laparoscopically assisted distal gastrectomy with standard radical lymph node dissection for gastric cancer. Surg Endosc 19:1592–1596
Song KY, Kim SN, Park CH (2008) Laparoscopy-assisted distal gastrectomy with D2 lymph node dissection for gastric cancer: technical and oncologic aspects. Surg Endosc 22:655–659
Author information
Authors and Affiliations
Corresponding author
Editor information
Editors and Affiliations
Rights and permissions
Copyright information
© 2014 Springer Japan
About this chapter
Cite this chapter
Obama, K., Hyung, W.J. (2014). Robotic Gastrectomy for Gastric Cancer. In: Watanabe, G. (eds) Robotic Surgery. Springer, Tokyo. https://doi.org/10.1007/978-4-431-54853-9_5
Download citation
DOI: https://doi.org/10.1007/978-4-431-54853-9_5
Published:
Publisher Name: Springer, Tokyo
Print ISBN: 978-4-431-54852-2
Online ISBN: 978-4-431-54853-9
eBook Packages: MedicineMedicine (R0)