Objective To investigate the feasibility and safety of totally robotic radical distal gastrectomy for gastric cancer using delta-shaped gastroduodenostomy with overlap method. Methods The clinical data of 2 patients with gastric cancer who underwent totally robotic radical distal gastrectomy using Da Vinci Si robotic surgical system in November 2017 were retrospectively analyzed. Results The first case was 33-year-old female with distal gastric cancer, and the second case was 77-year-old male. Both successfully underwent totally robotic radical distal gastrectomy with D2 lymphadenectomy and delta-shaped gastroduodenostomy using overlap method. Total operating time was 210 min and 240 min with the intraoperative blood loss of 20 mL and 100 mL, the harvested lymph nodes of 32 and 24, respectively. Both had cancer-free resection margin pathologically. The first flatus passage time was 3.0 d and 2.5 d postoperatively with the liquid food for 4 d and 5 d, respectively. Postoperative hospital stay was 6 d and 8 d, respectively. No postoperative complication was found in two cases. Conclusions Totally robotic radical distal gastrectomy for gastric cancer with delta-shaped gastroduodenostomy using overlap method is feasible and safe. The further study is needed for the clinical value.
YAN Chao, LIU Wentao, YANG Zhongyin, NI Zhentian, XU Wei, BI Renda, ZHENG Yanan, HUA Zichen, ZHU Zhenglun, FENG Runhua, YAO Xuexin, CHEN Mingmin, LI Chen, YAN Min, ZHU Zhenggang
. Clinical application of totally robotic radical distal gastrectomy for gastric cancer using delta-shaped overlap gastroduodenostomy: a report of 2 cases[J]. Journal of Surgery Concepts & Practice, 2018
, 23(01)
: 32
-36
.
DOI: 10.16139/j.1007-9610.2018.01.008
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