Totally robotic total gastrectomy with D2 lymphadenectomy for gastric cancer via da Vinci Xi platform: Technical details and perioperative outcomes
Background: This study reported the surgical details and outcomes in a case of totally robotic total gastrectomy (TRTG) using the da Vinci Xi robotic system, aiming to share surgical experience in difficult procedures during TRTG and add evidence supporting the feasibility and safety of TRTG. Method...
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| Format: | Article |
| Language: | English |
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KeAi Communications Co., Ltd.
2024-01-01
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| Series: | Intelligent Surgery |
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| Online Access: | http://www.sciencedirect.com/science/article/pii/S2666676624000061 |
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| author | Chengcai Liang Jianrong Guo Guoming Chen Zhiwei Zhou Shuqiang Yuan |
| author_facet | Chengcai Liang Jianrong Guo Guoming Chen Zhiwei Zhou Shuqiang Yuan |
| author_sort | Chengcai Liang |
| collection | DOAJ |
| description | Background: This study reported the surgical details and outcomes in a case of totally robotic total gastrectomy (TRTG) using the da Vinci Xi robotic system, aiming to share surgical experience in difficult procedures during TRTG and add evidence supporting the feasibility and safety of TRTG. Methods: A 55-year-old male patient diagnosed with adenocarcinoma of gastroesophageal junction underwent TRTG via the da Vinci Xi robotic system in Sun Yat-sen University Cancer Center on January 10, 2024. The surgical details and perioperative outcomes were summarized. Results: With an estimated blood loss of 100 ml, the operation lasted 210 min, including an anastomosis time of 36 min. During a postoperative hospital stay of 7 days, the patient started liquid diet after the removal of gastric tube on the third day. There were no perioperative complications. Postoperative radiography demonstrated no evidence of anastomotic fistulas or luminal narrowing. The final pathology revealed a 4.5∗1.5 cm gastric adenocarcinoma with 10/61 positive lymph nodes. The pathological stage of this patient was pT3N3aM0 IIIB. Conclusions: This successful surgery reflected the effectiveness of minimally invasive surgery for total gastrectomy through a totally intracorporeal robotic approach. Future research is warranted to further validate the feasibility and safety of performing TRTG. |
| format | Article |
| id | doaj-art-f085ddad9cbf41e6899ab73d2bcc34b4 |
| institution | Kabale University |
| issn | 2666-6766 |
| language | English |
| publishDate | 2024-01-01 |
| publisher | KeAi Communications Co., Ltd. |
| record_format | Article |
| series | Intelligent Surgery |
| spelling | doaj-art-f085ddad9cbf41e6899ab73d2bcc34b42025-01-18T05:05:21ZengKeAi Communications Co., Ltd.Intelligent Surgery2666-67662024-01-0173640Totally robotic total gastrectomy with D2 lymphadenectomy for gastric cancer via da Vinci Xi platform: Technical details and perioperative outcomesChengcai Liang0Jianrong Guo1Guoming Chen2Zhiwei Zhou3Shuqiang Yuan4State Key Laboratory of Oncology in South China, Guangdong Provincial Clinical Research Center for Cancer, Collaborative Innovation Center for Cancer Medicine, Sun Yat-sen University Cancer Center, Guangzhou, Guangdong, China; Department of Gastric Surgery, Sun Yat-sen University Cancer Center, Guangzhou, Guangdong, ChinaState Key Laboratory of Oncology in South China, Guangdong Provincial Clinical Research Center for Cancer, Collaborative Innovation Center for Cancer Medicine, Sun Yat-sen University Cancer Center, Guangzhou, Guangdong, China; Department of Gastric Surgery, Sun Yat-sen University Cancer Center, Guangzhou, Guangdong, ChinaState Key Laboratory of Oncology in South China, Guangdong Provincial Clinical Research Center for Cancer, Collaborative Innovation Center for Cancer Medicine, Sun Yat-sen University Cancer Center, Guangzhou, Guangdong, China; Department of Gastric Surgery, Sun Yat-sen University Cancer Center, Guangzhou, Guangdong, ChinaState Key Laboratory of Oncology in South China, Guangdong Provincial Clinical Research Center for Cancer, Collaborative Innovation Center for Cancer Medicine, Sun Yat-sen University Cancer Center, Guangzhou, Guangdong, China; Department of Gastric Surgery, Sun Yat-sen University Cancer Center, Guangzhou, Guangdong, ChinaState Key Laboratory of Oncology in South China, Guangdong Provincial Clinical Research Center for Cancer, Collaborative Innovation Center for Cancer Medicine, Sun Yat-sen University Cancer Center, Guangzhou, Guangdong, China; Department of Gastric Surgery, Sun Yat-sen University Cancer Center, Guangzhou, Guangdong, China; Corresponding author: 651 Dong Feng Road East, Guangzhou, 510060, China.Background: This study reported the surgical details and outcomes in a case of totally robotic total gastrectomy (TRTG) using the da Vinci Xi robotic system, aiming to share surgical experience in difficult procedures during TRTG and add evidence supporting the feasibility and safety of TRTG. Methods: A 55-year-old male patient diagnosed with adenocarcinoma of gastroesophageal junction underwent TRTG via the da Vinci Xi robotic system in Sun Yat-sen University Cancer Center on January 10, 2024. The surgical details and perioperative outcomes were summarized. Results: With an estimated blood loss of 100 ml, the operation lasted 210 min, including an anastomosis time of 36 min. During a postoperative hospital stay of 7 days, the patient started liquid diet after the removal of gastric tube on the third day. There were no perioperative complications. Postoperative radiography demonstrated no evidence of anastomotic fistulas or luminal narrowing. The final pathology revealed a 4.5∗1.5 cm gastric adenocarcinoma with 10/61 positive lymph nodes. The pathological stage of this patient was pT3N3aM0 IIIB. Conclusions: This successful surgery reflected the effectiveness of minimally invasive surgery for total gastrectomy through a totally intracorporeal robotic approach. Future research is warranted to further validate the feasibility and safety of performing TRTG.http://www.sciencedirect.com/science/article/pii/S2666676624000061Totally robotic total gastrectomy (TRTG)Gastric cancerda Vinci Xi robotic systemPerioperative outcomes |
| spellingShingle | Chengcai Liang Jianrong Guo Guoming Chen Zhiwei Zhou Shuqiang Yuan Totally robotic total gastrectomy with D2 lymphadenectomy for gastric cancer via da Vinci Xi platform: Technical details and perioperative outcomes Intelligent Surgery Totally robotic total gastrectomy (TRTG) Gastric cancer da Vinci Xi robotic system Perioperative outcomes |
| title | Totally robotic total gastrectomy with D2 lymphadenectomy for gastric cancer via da Vinci Xi platform: Technical details and perioperative outcomes |
| title_full | Totally robotic total gastrectomy with D2 lymphadenectomy for gastric cancer via da Vinci Xi platform: Technical details and perioperative outcomes |
| title_fullStr | Totally robotic total gastrectomy with D2 lymphadenectomy for gastric cancer via da Vinci Xi platform: Technical details and perioperative outcomes |
| title_full_unstemmed | Totally robotic total gastrectomy with D2 lymphadenectomy for gastric cancer via da Vinci Xi platform: Technical details and perioperative outcomes |
| title_short | Totally robotic total gastrectomy with D2 lymphadenectomy for gastric cancer via da Vinci Xi platform: Technical details and perioperative outcomes |
| title_sort | totally robotic total gastrectomy with d2 lymphadenectomy for gastric cancer via da vinci xi platform technical details and perioperative outcomes |
| topic | Totally robotic total gastrectomy (TRTG) Gastric cancer da Vinci Xi robotic system Perioperative outcomes |
| url | http://www.sciencedirect.com/science/article/pii/S2666676624000061 |
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