Robot-assisted distal gastrectomy for gastric cancer: initial experience

Abstract 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 (I...

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Bibliographic Details
Published in:The American journal of surgery 2011-06, Vol.201 (6), p.841-845
Main Authors: Lee, Han Hong, M.D, Hur, Hoon, M.D, Jung, Hun, M.D, Jeon, Hae Myung, M.D, Park, Cho Hyun, M.D, Song, Kyo Young, M.D
Format: Article
Language:English
Subjects:
Abdomen
Adult
Aged
Analgesics
Biological and medical sciences
Biopsy
Cameras
Cancer
Diagnosis, Differential
Dissection
Early Diagnosis
Early gastric cancer
Endoscopy, Gastrointestinal
Endosonography
Feasibility
Feasibility Studies
Female
Gastrectomy
Gastrectomy - methods
Gastric cancer
Gastroenterology. Liver. Pancreas. Abdomen
General aspects
Humans
Laparoscopy
Lymph nodes
Lymphatic system
Male
Medical sciences
Middle Aged
Pancreatitis
Patients
Retrospective Studies
Robotic surgery
Robotics - methods
Robots
Stomach Neoplasms - diagnosis
Stomach Neoplasms - surgery
Stomach, duodenum, intestine, rectum, anus
Stomach. Duodenum. Small intestine. Colon. Rectum. Anus
Surgeons
Surgery
Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases
Surgery of the digestive system
Tomography, X-Ray Computed
Treatment Outcome
Tumors
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Summary:Abstract 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.
ISSN:0002-9610
1879-1883
DOI:10.1016/j.amjsurg.2010.05.013