Novel Integrated Robotic Approach for Suprapancreatic D2 Nodal Dissection for Treating Gastric Cancer: Technique and Initial Experience

Uyama, Ichiro; Kanaya, Shigehiko; Ishida, Yoshiteru; Inaba, Kazuki; Suda, Koichi; Satoh, Seiji

doi:10.1007/s00268-011-1352-8

Cited by 150 publications

(111 citation statements)

References 36 publications

(40 reference statements)

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“…However, it is difficult to perform lymph node dissection during LG for those used to performing open gastrectomy (Huang et al, 2012). Previous studies reported that robot-assisted lymph node dissection was feasibility of a precision and bloodless (Uyama et al, 2012). In all, our data revealed that robotic assisted lymph nodes harvested was safe and could achieve an adequate lymph nodes harvested comparable to LG.…”

Section: Discussionsupporting

confidence: 53%

See 1 more Smart Citation

Meta-analysis of Outcomes Compared between Robotic and Laparoscopic Gastrectomy for Gastric Cancer

Liao

Xie²,

Li³

et al. 2013

Asian Pacific Journal of Cancer Prevention

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Section: Discussionsupporting

confidence: 53%

“…Robotic gastrectomy (RG) is able to dissect lymph node precisely and offers some benefits over conventional laparoscopic surgery. Studies on robotic gastrectomy have been widely reported (Song et al, 2009;Hur et al, 2010;Lee et al, 2011;Park et al, 2012;Uyama et al, 2012).…”

Section: Introductionmentioning

confidence: 99%

Meta-analysis of Outcomes Compared between Robotic and Laparoscopic Gastrectomy for Gastric Cancer

Liao

Xie²,

Li³

et al. 2013

Asian Pacific Journal of Cancer Prevention

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“…In 1994, Kitano et al 27. reported the first laparoscopic Billroth I gastrectomy and since then, gastrectomy is increasingly being carried out laparoscopically and in some cases, robotically in Japan 28. Most importantly, the results of two ongoing randomized control trials comparing laparoscopic and open gastrectomy for gastric cancer are awaited 29.…”

Section: Gastric Surgerymentioning

confidence: 99%

Gastroenterological surgery in Japan: The past, the present and the future

Colvin

Mizushima

Eguchi

et al. 2017

Annals of Gastroent Surgery

138

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In the last two centuries, there has been remarkable progress in the field of gastroenterological surgery, including the curative resection of cancers, replacement of failed organs through transplantation, increased safety of undergoing major surgeries and decreased operative morbidity through developments in minimal access surgery. Japan has very much been at the forefront of these advances, as is evident from the present review, from advancing the surgical management of gastric cancer to the pioneering work in live‐donor transplantation. This review also highlights many instances where surgical management of the same pathologies has evolved differently between Japan and the West. It is encouraging that many procedures established in Japan are eventually taken up by the West, often after rigorous assessment affirming the quality and applicability of such techniques. In Japan, many of the crucial issues in gastroenterological surgery are increasingly addressed through large multi‐institutional prospective control trials, ensuring that Japanese surgeons continue to contribute to the advances in gastroenterological surgery.

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“…Thus, from the initial experience, robotic surgery can be carried out safely if it is conducted by a surgeon experienced in laparoscopic surgery. The learning curve of robotic gastrectomy demonstrates a quicker adaptation with most studies reporting 11‐25 cases to be sufficient for experienced gastric cancer surgeons,20, 35, 36 whereas 40‐60 cases of surgical experience are required to overcome the learning curves associated with laparoscopic gastrectomy 37, 38. However, there is no study directly comparing the learning curve effect of robotic surgery in cases of surgeons having no laparoscopic experience.…”

Section: Perioperative Outcomesmentioning

confidence: 99%

Robotic gastrectomy for gastric cancer: Current evidence

Alhossaini

Altamran

Seo

et al. 2017

Annals of Gastroent Surgery

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The robotic system has gained wide acceptance in specialties such as urological and gynecological surgery. It has also been applied in the field of upper gastrointestinal surgery. Since the first implementation of the robotic system for the treatment of gastric adenocarcinoma, the procedure has been found to be safe and feasible. Although robotic gastrectomy does not meet our expectations and yield better results than laparoscopic gastrectomy, this procedure seems to provide several advantages over laparoscopy such as reduced blood loss, shorter learning curves and increased number of retrieved lymph nodes. However, as many case series, including a recent multicenter study, have revealed, higher cost and longer operation time are the major limitations of robotic gastrectomy. Furthermore, there are no results from well‐designed randomized clinical trials comparing the two procedures. New procedures in much more technically demanding cases will test the genuine benefits of robotic gastrectomy.

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Novel Integrated Robotic Approach for Suprapancreatic D2 Nodal Dissection for Treating Gastric Cancer: Technique and Initial Experience

Abstract: Our novel robotic approach for D2 nodal dissection in gastric cancer is feasible and safe.

Cited by 150 publications

References 36 publications

Meta-analysis of Outcomes Compared between Robotic and Laparoscopic Gastrectomy for Gastric Cancer

Meta-analysis of Outcomes Compared between Robotic and Laparoscopic Gastrectomy for Gastric Cancer

Gastroenterological surgery in Japan: The past, the present and the future

Robotic gastrectomy for gastric cancer: Current evidence

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