Performing robot-assisted pylorus and vagus nerve-preserving gastrectomy for early gastric cancer:A case series of initial experience
作者机构：Department of Gastrointestinal SurgeryThe First Affiliated Hospital of Dalian Medical UniversityDalian 116011Liaoning ProvinceChina
出 版 物：《World Journal of Gastrointestinal Surgery》 (世界胃肠外科杂志（英文版）（电子版）)
年 卷 期：2022年第14卷第10期
页 面：1107-1119页
核心收录：
学科分类：1002[医学-临床医学] 100214[医学-肿瘤学] 10[医学]
主 题：Da Vinci robotic surgery system Gastric carcinoma Vagus nerve Pylorus Gastrectomy
摘 要：BACKGROUND Pylorus and vagus nerve-preserving gastrectomy(PPG)is a function-preserving surgery for early gastric cancer(GC)that has gained considerable interest in the recent *** operative technique performed using the Da Vinci Xi robot system is considered ideal for open and laparoscopic *** To introduce Da Vinci Xi robot-assisted PPG(RAPPG)-based operative procedure and technical points as well as report the initial experience based on the clinical pathology data of eight cases of early *** Da Vinci Xi robot-assisted pylorus and vagus nerve-preserving gastrectomy(RAPPG)was performed for 11 consecutive patients with middle GC from December 2020 to July *** measures were postoperative morbidity,operative time,blood loss,number of lymph nodes harvested,postoperative hospital stay,time to first flatus,time to diet,and resection *** Eight of the 11 patients who were pathologically diagnosed with early GC were enrolled in a retrospective study to assess the feasibility and safety of *** mean operative time,mean blood loss,mean number of lymph nodes harvested,length of preserved pylorus canal,distal margin,and proximal margin were 330.63±47.24 min,57.50±37.70 mL,18.63±10.57,3.63±0.88 cm,3.50±1.31 cm,and 3.63±1.19 cm,*** of the cases required conversion to *** complications occurred in two(25.0%)*** complications were hyperamylasemia and gastric stasis in one case and incision infection in the *** to first flatus was 3.75±2.49 d after the operation,andpostoperative hospital stay was 10.13±4.55 *** core technique in the Da Vinci Xi RAPPG is lymph node dissection and the anatomic methodof the *** surgical procedures are feasible and *** the progress of surgicaltechnology,optimization of medical insurance structure,and emergence of evidence-basedmedicine,automated surgery systems will have a broad application in clinical treatment.
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