Robotic gastrectomy for gastric cancer: surgical techniques and clinical merits

Kim, Min-Chan; Heo, Geon-Ung; Jung, Ghap Joong

doi:10.1007/s00464-009-0618-9

Cited by 185 publications

(167 citation statements)

References 27 publications

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“…The advantages of robotic surgery include a 3D imagine, convenient movements of the robotic arm, no tremor, and ambidextrous capability (Baik et al, 2009;Kim et al, 2010;Buchs et al, 2011). Robotic surgery is now widely performed in the fields of gynecology, urology and general surgery.…”

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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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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“…2,4,6 Robotic EndoWrist Ⓡ (Intuitive Surgical) enables meticulous lymph node dissection, which allows complete D2 lymphadenectomy. 2,[4][5][6] Partial nephrectomy has been performed to treat incidental small renal masses. Many studies reported the advantages of robotassisted partial nephrectomy using EndoWrist Ⓡ in intracorporeal suturing.…”

Section: Discussionmentioning

confidence: 99%

“…Robot-assisted surgery is performed in many hospitals, especially for early stages of cancers. [1][2][3] However, reports on robot assisted combined operations are very limited. We report the first successful concurrent robotassisted distal gastrectomy and partial nephrectomy in a patient with synchronous early gastric cancer and renal cell carcinoma.…”

Section: Introductionmentioning

confidence: 99%

Concurrent Robot-Assisted Distal Gastrectomy and Partial Nephrectomy for Synchronous Early Gastric Cancer and Renal Cell Carcinoma: An Initial Experience

Kim

Seo

et al. 2014

J Gastric Cancer

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We report our experience of a concurrent robot assisted distal gastrectomy and partial nephrectomy for synchronous early gastric cancer and renal cell carcinoma. A 55-year-old female patient was diagnosed with early gastric cancer on screening endoscopy. Abdominal computed tomography showed an incidental right renal cell carcinoma. Robot assisted distal gastrectomy was performed, followed by partial nephrectomy. The final pathological examination showed signet ring cell carcinoma within the lamina propria and renal cell carcinoma with negative resection margins. The patient showed no evidence of recurrence at 6-months. A robot-assisted combined operation could be a treatment option for early stages of synchronous malignancies.

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“…in 2003. Since then, a few small series have been reported that show relatively good short-term results comparable to those obtained with laparoscopic or conventional open surgery [27][28][29][30][31][32][33][34][35][36][37] . In 2009, Song et al [32] presented their initial 100 cases of robot-assisted gastrectomy with lymph node dissection; it is the largest series for robotic surgery with gastric cancer in the literature.…”

Section: Practicementioning

confidence: 94%

Current status of robot-assisted gastric surgery

Baek

Lee²,

Kim³

2011

WJGO

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In an effort to minimize the limitations of laparoscopy, a robotic surgery system was introduced, but its role for gastric cancer is still unclear. The objective of this article is to assess the current status of robotic surgery for gastric cancer and to predict future prospects. Although the current study was limited by its small number of patients and retrospective nature, robot-assisted gastrectomy with lymphadenectomy for the treatment of gastric cancer is a feasible and safe procedure for experienced laparoscopic surgeons. Most studies have reported satisfactory results for postoperative short-term coutcomes, such as: postoperative oral feeding, gas out, hospital stay and complications, compared with laparoscopic surgery; the difference is a longer operation time. However, robotic surgery showed a shallow learning curve compared with the familarity of conventional open surgery; after the accumulation of several cases, robotic surgery could be expected to result in a similar operation time. Robotic-assisted gastrectomy can expand the indications of minimally invasive surgery to include advanced gastric cancer by improving the ability to perform lymphadenectomy. Moreover, "total" robotic gastrectomy can be facilitated using a robotsewing technique and gastric submucosal tumors near the gastroesophageal junction or pylorus can be resected safely by this novel technique. In conclusion, robotassisted gastrectomy may offer a good alternative to conventional open or laparoscopic surgery for gastric cancer, provided that long-term oncologic outcomes can be confirmed.

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Robotic gastrectomy for gastric cancer: surgical techniques and clinical merits

Cited by 185 publications

References 27 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

Concurrent Robot-Assisted Distal Gastrectomy and Partial Nephrectomy for Synchronous Early Gastric Cancer and Renal Cell Carcinoma: An Initial Experience

Current status of robot-assisted gastric surgery

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