Journal ArticleDOI
Role of robotic gastrectomy using da Vinci system compared with laparoscopic gastrectomy: initial experience of 20 consecutive cases.
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TLDR
It could be assumed that experienced laparoscopic surgeons could perform robotic gastrectomy with a certain level of skill, even in initial series.Abstract:
Robotic surgery was invented to overcome the demerits of laparoscopic surgery. However, the role of robotic surgery in gastrectomy has rarely been reported. This study aimed to evaluate the use of robot-assisted distal subtotal gastrectomy to facilitate surgical training for gastric cancer. Twenty gastric cancer patients who underwent robotic gastrectomy from July 2005 to November 2006 were compared with 20 initial patients who underwent laparoscopic subtotal gastrectomy from May 2003 to August 2003 and 20 recent patients who underwent laparoscopic subtotal gastrectomy during the same period as the 20 robotic gastrectomy procedures by the same surgeon. All 60 patients underwent subtotal gastrectomies with gastroduodenostomy without open or laparoscopic conversion. Operation time for robotic gastrectomy, initial laparoscopic gastrectomy, and recent laparoscopic gastrectomy was 230 min (range 171–312 min), 289.5 min (range 190–450 min), and 134.1 min (range 90–260 min). The number of retrieved lymph nodes was 35.3 ± 10.5, 31.5 ± 17.1, and 42.7 ± 14.9, respectively. Hospital stay was 5.7, 7.7, and 6.2 days, respectively. Postoperative complication occurred in two patients in recent laparoscopic gastrectomy and one patient each in robotic and initial laparoscopic gastrectomy. In this context, it could be assumed that experienced laparoscopic surgeons could perform robotic gastrectomy with a certain level of skill, even in initial series.read more
Citations
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Journal ArticleDOI
Efficacy of the Da Vinci Surgical System in Abdominal Surgery Compared With That of Laparoscopy: A Systematic Review and Meta-Analysis
S. Maeso,M. Mercedes Reza,Julio A. Mayol,Juan Antonio Blasco,Mercedes Guerra,Elena Andradas,Maria N Plana +6 more
TL;DR: DVSS was found to be associated with fewer Heller myotomy-related perforations, a more rapid intestinal recovery time after gastrectomy—and therefore a shorter hospital stay, a short hospital stay following cholecystectomy, and longer colorectal resection surgery times, and a larger number of conversions to open surgery during gastric bypass.
Journal ArticleDOI
Robotic gastrectomy as an oncologically sound alternative to laparoscopic resections for the treatment of early-stage gastric cancers.
Yanghee Woo,Woo Jin Hyung,Kyung Ho Pak,Kazuki Inaba,Kazuki Inaba,Kazutaka Obama,Seung Ho Choi,Sung Hoon Noh +7 more
TL;DR: The largest comparative study demonstrates robotic gastrectomy to have better short-term and comparable oncologic outcomes compared with laparoscopic gastrectomies, demonstrating a robotic approach to gastric cancer is a promising alternative to Laparoscopic surgery.
Learning curve of laparoscopy-assisted distal gastrectomy with systemic lymphadenectomy for early gastric cancer
TL;DR: Based on operative time analysis, this study show that experience of 50 cases of LADG with systemic lymphadenectomy for early gastric cancer is required to achieve optimum proficiency.
Journal ArticleDOI
Subtotal gastrectomy with D2 dissection by minimally invasive surgery for distal adenocarcinoma of the stomach: results and 5-year survival
Raffaele Pugliese,Dario Maggioni,Fabio Sansonna,Andrea Costanzi,Giovanni Ferrari,Stefano Di Lernia,Carmelo Magistro,Paolo De Martini,Francesco Pugliese +8 more
TL;DR: D2 subtotal gastrectomy performed by MIS is reproducible and safe and the long-term outcomes and 5-year survival are acceptable.
Journal ArticleDOI
Comparison of Surgical Outcomes between Robotic and Laparoscopic Gastrectomy for Gastric Cancer: The Learning Curve of Robotic Surgery
TL;DR: The study shows that robotic gastrectomy is a safe and feasible procedure, especially after the 20 initial cases, and provides a satisfactory postoperative outcome.
References
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Journal ArticleDOI
Robotics in general surgery: personal experience in a large community hospital.
Pier Cristoforo Giulianotti,A. Coratti,Marta Angelini,F. Sbrana,Simone Cecconi,T Balestracci,G. Caravaglios +6 more
TL;DR: The preliminary experience at a large community hospital suggests that robotic surgery is feasible in a clinical setting, and its daily use is safe and easily managed, and it expands the applications of minimally invasive surgery.
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Laparoscopic versus open subtotal gastrectomy for distal gastric cancer: five-year results of a randomized prospective trial
Cristiano G.S. Huscher,Andrea Mingoli,Giovanna Sgarzini,Andrea Sansonetti,Massimiliano Di Paola,A. Recher,Cecilia Ponzano +6 more
TL;DR: Laparoscopic radical subtotal gastrectomy for distal gastric cancer is a feasible and safe oncologic procedure with short- and long-term results similar to those obtained with an open approach.
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A Multicenter Study on Oncologic Outcome of Laparoscopic Gastrectomy for Early Cancer in Japan
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Journal ArticleDOI
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TL;DR: The Japan Gastric Cancer Association issued the first edition of Gastric cancer treatment guidlelines in March, 2001 to provide a common basis of understanding of the extent of disease and selection of proper treatment among doctors, patients, and their families.
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TL;DR: Laroscopy-assisted Billroth I gastrectomy has several advantages, including less surgical trauma, less impaired nutrition, less pain, rapid return of gastrointestinal function, and shorter hospital stay, with no decrease in operative curability.