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Erschienen in: Journal of Robotic Surgery 4/2016

13.05.2016 | Original Article

Full robot-assisted gastrectomy: surgical technique and preliminary experience from a single center

verfasst von: Yolanda Quijano, Emilio Vicente, Benedetto Ielpo, Hipolito Duran, Eduardo Diaz, Isabel Fabra, Luis Malave, Valentina Ferri, Antonio Ferronetti, Carlos Plaza, Vito D’Andrea, Riccardo Caruso

Erschienen in: Journal of Robotic Surgery | Ausgabe 4/2016

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Abstract

The treatment of gastric cancer requires a multidisciplinary approach in which surgery plays the main role. The diffusion of minimally invasive surgery for gastric cancer treatment is limited by the complexity of performing an extended lymphadenectomy. This surgical step can be facilitated through the use of a robot-assisted system. To date, there are few published articles discussing a full robotic approach that precisely show the different surgical steps. The aim of this study is to describe our experience, surgical techniques and the short-term results of a consecutive series of full robotic gastrectomies using the Da Vinci Surgical System. From November 2011 to January 2015, 17 patients with gastric cancer underwent curative resection by robotic approach for locally advanced tumors. In summary, there were 15 total gastrectomies with a Roux-en-Y esophagojejunostomy, one total gastrectomy with transverse colectomy and one sub-total gastrectomy. Resection margins were negative in all cases. Conversions occurred in two patients. Robot-assisted gastrectomy with extended lymphadenectomy is a safe technique and successfully allows an adequate lymph node harvest and optimal R0-resection rates with low postoperative morbidity. The learning curve appears to be shorter than in laparoscopic surgery. Further follow-up and randomized clinical trials are required to confirm the role of a robotic approach in gastric cancer surgery.
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Metadaten
Titel
Full robot-assisted gastrectomy: surgical technique and preliminary experience from a single center
verfasst von
Yolanda Quijano
Emilio Vicente
Benedetto Ielpo
Hipolito Duran
Eduardo Diaz
Isabel Fabra
Luis Malave
Valentina Ferri
Antonio Ferronetti
Carlos Plaza
Vito D’Andrea
Riccardo Caruso
Publikationsdatum
13.05.2016
Verlag
Springer London
Erschienen in
Journal of Robotic Surgery / Ausgabe 4/2016
Print ISSN: 1863-2483
Elektronische ISSN: 1863-2491
DOI
https://doi.org/10.1007/s11701-016-0591-y

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