J Korean Surg Soc.  2009 May;76(5):301-306. 10.4174/jkss.2009.76.5.301.

Robotic Gastrectomy for Gastric Cancer: Preliminary Results

Affiliations
  • 1Department of Surgery, Dong-A University College of Medicine, Busan, Korea. mckim@donga.ac.kr
  • 2Department of Internal Medicine, Dong-A University College of Medicine, Busan, Korea.

Abstract

PURPOSE
To assess the feasibility of the da Vinci(R) surgical system in performing gastrectomies for gastric cancer. METHODS: Between 31 December 2007 and 30 June 2008, twenty patients underwent robotic gastrectomies using the da Vinci(R) surgical system for gastric cancer. Retrospectively, clinicopathologic and postoperative surgical outcomes were retrieved from the Stomach Cancer Database at Dong-A University Medical Center. RESULTS: Two patients with serosa invasion required conversion to laparotomy. Seventeen robotic distal gastrectomies and one robotic total gastrectomy were performed. Most patients underwent D1+beta or D2 lymph node dissection. The average number of retrieved lymph nodes was 41. Mean operative time was 271 minutes. Estimated blood loss was 30 ml and mean postoperative hospital stay was 5.1 days. No postoperative complications were reported. CONCLUSION: While application of robotic technology for gastric cancer is technically feasible, problems of long operative times and extremely high costs remain. More randomized studies comparing long-term surgical outcomes between robotic, conventional open, and laparoscopic surgery are needed.

Keyword

da Vinci(R) surgical system; Robotic gastrectomy; Gastric cancer

MeSH Terms

Academic Medical Centers
Gastrectomy
Humans
Laparoscopy
Laparotomy
Length of Stay
Lymph Node Excision
Lymph Nodes
Operative Time
Postoperative Complications
Retrospective Studies
Serous Membrane
Stomach Neoplasms

Figure

  • Fig. 1 Arrangement of the operating room and robot.

  • Fig. 2 The locations of port in robotic gastrectomy. (A) Camera port, (B) Assist port, (C) First arm, (D) Second arm, (E) Third arm.

  • Fig. 3 Operation time of each patient.

  • Fig. 4 Photograph of da Vinci® surgical system. (A) Surgeon console, (B) Surgical cart, (C) Vision cart.


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