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Robot-assisted distal gastrectomy for gastric cancer: initial experience

被引：38
作者：
Lee, Han Hong [1 ]
Hur, Hoon [1 ]
Jung, Hun [1 ]
Jeon, Hae Myung [1 ]
Park, Cho Hyun [1 ]
Song, Kyo Young [1 ,2 ]
机构：
[1] Catholic Univ Korea, Seoul St Marys Hosp, Coll Med, Div Gastrointestinal Surg, Seoul 137701, South Korea
[2] Catholic Univ Korea, Coll Med, Seoul St Marys Hosp, Minimal Access & Robot Surg Ctr, Seoul 137701, South Korea
来源：
AMERICAN JOURNAL OF SURGERY | 2011年 / 201卷 / 06期
关键词：
Robotic surgery; Early gastric cancer; Gastrectomy; Feasibility; LYMPH-NODE DISSECTION; LEARNING-CURVE; SUBTOTAL GASTRECTOMY; LAPAROSCOPIC SURGERY; LYMPHADENECTOMY;
D O I：
10.1016/j.amjsurg.2010.05.013
中图分类号：
R61 [外科手术学];
学科分类号：
摘要：
BACKGROUND: This study evaluated the feasibility and safety of robotic surgery in gastrectomy for gastric cancer. METHODS: Between April and October 2009, 12 patients who were diagnosed with stage I gastric cancer underwent robot-assisted distal gastrectomy (RADG) using the da Vinci System (Intuitive Surgical, Sunnyvale, CA). The clinical and pathological characteristics of the patients and surgical outcome were analyzed. RESULTS: All procedures were completed successfully, with no laparoscopic or open conversion. The mean operating time was 253 minutes (range 170-365), and the mean blood loss was 135 mL (range 30-500). The resection margin was negative in all specimens, and a mean of 46 (range 21-115) lymph nodes was retrieved. The mean time to resume a soft diet and hospital stay was 4.6 and 6.6 days, respectively. Acute pancreatitis occurred in 1 patient and resolved with conservative management. CONCLUSIONS: In our initial experience, RADG was feasible, enabling a fast patient recovery and good operative outcome. (C) 2011 Elsevier Inc. All rights reserved.
引用
收藏
页码：841 / 845
页数：5
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