First clinical experiences of robotic gastrectomy for gastric cancer using the hinotori™ surgical robot system

Inoue, Seiji; Nakauchi, Masaya; Umeki, Yusuke; Suzuki, Kazumitsu; Serizawa, Akiko; Akimoto, Shingo; Watanabe, Yusuke; Tanaka, Tsuyoshi; Shibasaki, Susumu; Inaba, Kazuki; Uyama, Ichiro; Suda, Koichi

doi:10.1007/s00464-024-10695-0

Cited by 6 publications

(2 citation statements)

References 27 publications

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“…In November 2022, the Japanese HinotoriTM Surgical Robot System was introduced for clinical use in Japan. With the Hinotori surgical robot, safe robotic gastrectomy combined with regular lymphadenectomy for GC can be carried out [69]. In the context of GC surgery, the textbook outcome (TO) is a multifaceted indicator of surgical quality.…”

Section: Surgery and Immunonutritionmentioning

confidence: 99%

Prognosis and Treatment of Gastric Cancer: A 2024 Update

Burz,

Pop,

Silaghi

et al. 2024

Cancers

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Due to the high death rate associated with gastric cancer, a great deal of research has been conducted on this disease. The goal of this paper was to start a trimestral review of 2024 for the year that had just started. The scientific literature from 1 January 2024 was chosen with consideration of the the guidelines of the European Society of Medical Oncology (ESMO), which are updated with new findings but not systematically reviewed annually. We used the search term “gastric cancer” to find the most current publications in the PubMed database related to the prognosis and treatment of gastric cancer. As previously said, the only articles that satisfied the inclusion criteria were those from 2024. Articles with case reports were eliminated since they had nothing to do with our research. The treatment of gastric cancer is the focus of the majority of articles from 2024. The primary research axes include surgery and immunonutrition, immunotherapy and Helicobacter pylori, and therapeutic targets. Patients with GC may experience less psychological, social, and financial hardship if the recently identified markers discovered in circulation are better assessed and validated. This could be achieved by either including the markers in an artificial intelligence-based diagnostic score or by using them in conjunction with traditional diagnostic methods. Due to the rising death rate associated with GC, funding for research into diagnosis, prognosis, therapy, and therapeutic targets is essential.

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Section: Surgery and Immunonutritionmentioning

confidence: 99%

Prognosis and Treatment of Gastric Cancer: A 2024 Update

Burz,

Pop,

Silaghi

et al. 2024

Cancers

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“…Additionally, a exible three-dimensional (3D) viewer in the surgeon's cockpit may alleviate neck and shoulder fatigue. The hinotori™ system is primarily utilized in urology and adult surgery [6][7][8][9][10][11][12][13][14][15] but is anticipated to expand to pediatric surgeries. However, in pediatric robot-assisted surgery, the minimum body size for a safe operation has not yet been clearly de ned.…”

Section: Introductionmentioning

confidence: 99%

Evaluation of the hinotori TM Surgical Robot System for accurate suturing in small cavities

Kameoka,

Okata,

Yoshimura

et al. 2024

Preprint

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The hinotori™ Surgical Robot System (hinotori™, Medicaroid, Kobe, Japan) is increasingly being utilized primarily in urology and adult surgery; however, data on its application in pediatric surgery are lacking. This preclinical study aimed to evaluate the limitations of this system for accurate suturing in small cavities, designed for pediatric and neonatal applications. Two trained operators performed simple ligature sutures (easy task [ET]) and hepaticojejunostomy sutures (difficult task [DT]) within five differently sized boxes, ranging from 5123 mL to 125 mL. The suture time, number of internal and external instrument/instrument collisions, instrument/box collisions, and suture accuracy were evaluated. The suture accuracy was assessed using the A-Lap Mini endoscopic surgery skill assessment system. As a result, an increase in the number of collisions and extended suturing times were observed in boxes with volumes smaller than 215 mL. Despite these variations, there were no significant differences between the boxes, and all tasks were precisely performed in all boxes (p = 0.10 for the ET and 1.00 for the DT). These findings demonstrate the capability of the hinotori™ system to perform precise suturing techniques within tightly confined simulated neonatal cavities as small as 125 mL. To advance the integration of pediatric robotic surgery utilizing the hinotori™ system, additional trials comparing it with conventional laparoscopic and thoracoscopic techniques using pediatric and animal models are necessary, to assess its clinical safety and applicability.

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