Reduced-port totally robotic distal subtotal gastrectomy with lymph node dissection for gastric cancer: a modified technique using Single-Site® and two additional ports

Surgical Endoscopy
Won Jun SeoWoo Jin Hyung

Abstract

Reduced-port laparoscopic gastrectomy further minimizes the invasiveness of laparoscopic gastrectomy, thereby improving patient quality of life. However, suboptimal ergonomics and visualization are challenges to performing reduced-port laparoscopy. As the application of a robotic surgical system may help overcome these challenges, the present study was performed to evaluate the short-term outcomes of reduced-port totally robotic distal subtotal gastrectomy. An initial 40 consecutive gastric cancer patients treated with reduced-port totally robotic distal subtotal gastrectomy with lymph node dissection from February 2016 to February 2017 were retrospectively reviewed. An overturned infraumbilical Single-Site® port and two additional abdominal ports were utilized. Clinicopathological characteristics and short-term surgical outcomes were analyzed to evaluate the safety and feasibility of the procedure. Patients comprised 23 (57.5%) males and 17 females. Mean age and body mass index were 54 years and 23.7 kg/m2, respectively. Preoperative clinical T stage was early in 22 patients and advanced (T2 or more) in 18 (45%) patients. No conversions to laparoscopic or open surgery and no additional port insertions were required. Eighteen p...Continue Reading

References

May 17, 2011·Gastric Cancer : Official Journal of the International Gastric Cancer Association and the Japanese Gastric Cancer Association·Seiichiro KanayaIchiro Uyama
Nov 28, 2012·Gastric Cancer : Official Journal of the International Gastric Cancer Association and the Japanese Gastric Cancer Association·Hideki KawamuraMasahiro Takahashi
Oct 2, 2013·European Journal of Surgical Oncology : the Journal of the European Society of Surgical Oncology and the British Association of Surgical Oncology·H-I KimW J Hyung
Nov 16, 2014·Gastric Cancer : Official Journal of the International Gastric Cancer Association and the Japanese Gastric Cancer Association·Chikara KunisakiItaru Endo
Nov 25, 2014·Minimally Invasive Therapy & Allied Technologies : MITAT : Official Journal of the Society for Minimally Invasive Therapy·Kazunori ShibaoKoji Yamaguchi
Dec 17, 2014·Asian Journal of Endoscopic Surgery·Noriyuki Inaki
May 21, 2016·Surgical Endoscopy·Chikara KunisakiItaru Endo
Jun 28, 2016·Gastric Cancer : Official Journal of the International Gastric Cancer Association and the Japanese Gastric Cancer Association·UNKNOWN Japanese Gastric Cancer Association

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Citations

Jun 21, 2019·Journal of Laparoendoscopic & Advanced Surgical Techniques. Part a·Leandro Cardoso BarchiBruno Zilberstein
Feb 26, 2019·Yonsei Medical Journal·Yoon Young ChoiWoo Jin Hyung
Aug 28, 2020·Expert Review of Gastroenterology & Hepatology·Sung Hyun Park, Woo Jin Hyung
Jul 9, 2021·Journal of Gastric Cancer·Jae-Seok MinSang-Ho Jeong
Aug 19, 2021·Gastric Cancer : Official Journal of the International Gastric Cancer Association and the Japanese Gastric Cancer Association·Seohee ChoiWoo Jin Hyung

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