Fully robotic total gastrectomy with D2 lymphadenectomy for gastric cancer
Robotic surgery with technical advantages was shown to make complex maneuvers easier and more precise for gastric surgery [1]. This video demonstrates our technique on robotic total gastrectomy with the da Vinci Xi platform for gastric cancer. 68-year-old female was presented with persistent epigast...
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description | Robotic surgery with technical advantages was shown to make complex maneuvers easier and more precise for gastric surgery [1]. This video demonstrates our technique on robotic total gastrectomy with the da Vinci Xi platform for gastric cancer.
68-year-old female was presented with persistent epigastric abdominal pain and underwent upper endoscopy showed ulcerated mass extended from the cardia to the lesser curvature. Histopathology showed gastric adenocarcinoma. After patient received neoadjuvant chemotherapy, decision was made to proceed with surgery.
Initially, greater curvature dissection was started by division of the gastrocolic ligament with entering the lesser sac with monopolar scissors and bipolar forceps. The right gastroomental vessels were identified and divided at their root along with lymph nodes. After ligation of the right gastric vessels, dissection was extended to retrieve lymph nodes around the left gastric vessels. Duodenum was circumferentially dissected and transected 2 cm distal to the pylorus. Subsequently, extended lymphadenectomy was started with suprapancreatic lymph node dissection to retrieve lymph nodes around the common hepatic artery and celiac axis. Spleen-preserving dissection of the lymphatic tissue of the distal splenic artery and the splenic hilum was performed. The distal esophagus was divided with robotic stapler. Fully robotic end-to-side esophagojejunal anastomosis was constructed. For the reconstruction of gastrointestinal continuity after total gastrectomy, side-to-side jejuno-jejunal anastomosis was performed. Total operative time was 5 hours and estimated blood loss was 20 cc.
Totally robotic gastrectomy with D2-lymphadenectomy is a safe technique for gastric cancer and provides intracorporeal suturing in reconstructing the anatomy.
•This video demonstrates our technique on robotic total gastrectomy with the da Vinci Xi platform for gastric cancer.•Robotic gastrectomy is a safe technique for gastric cancer and provides intracorporeal suturing in reconstructing anatomy.•Robotic surgery with technical advantages was shown to make complex maneuvers easier and more precise for gastric surgery. |
doi_str_mv | 10.1016/j.suronc.2019.11.001 |
format | Article |
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68-year-old female was presented with persistent epigastric abdominal pain and underwent upper endoscopy showed ulcerated mass extended from the cardia to the lesser curvature. Histopathology showed gastric adenocarcinoma. After patient received neoadjuvant chemotherapy, decision was made to proceed with surgery.
Initially, greater curvature dissection was started by division of the gastrocolic ligament with entering the lesser sac with monopolar scissors and bipolar forceps. The right gastroomental vessels were identified and divided at their root along with lymph nodes. After ligation of the right gastric vessels, dissection was extended to retrieve lymph nodes around the left gastric vessels. Duodenum was circumferentially dissected and transected 2 cm distal to the pylorus. Subsequently, extended lymphadenectomy was started with suprapancreatic lymph node dissection to retrieve lymph nodes around the common hepatic artery and celiac axis. Spleen-preserving dissection of the lymphatic tissue of the distal splenic artery and the splenic hilum was performed. The distal esophagus was divided with robotic stapler. Fully robotic end-to-side esophagojejunal anastomosis was constructed. For the reconstruction of gastrointestinal continuity after total gastrectomy, side-to-side jejuno-jejunal anastomosis was performed. Total operative time was 5 hours and estimated blood loss was 20 cc.
Totally robotic gastrectomy with D2-lymphadenectomy is a safe technique for gastric cancer and provides intracorporeal suturing in reconstructing the anatomy.
•This video demonstrates our technique on robotic total gastrectomy with the da Vinci Xi platform for gastric cancer.•Robotic gastrectomy is a safe technique for gastric cancer and provides intracorporeal suturing in reconstructing anatomy.•Robotic surgery with technical advantages was shown to make complex maneuvers easier and more precise for gastric surgery.</description><identifier>ISSN: 0960-7404</identifier><identifier>EISSN: 1879-3320</identifier><identifier>DOI: 10.1016/j.suronc.2019.11.001</identifier><identifier>PMID: 31747635</identifier><language>eng</language><publisher>Netherlands: Elsevier Ltd</publisher><subject>Adenocarcinoma ; Anastomosis ; Blood vessels ; Cancer ; Chemotherapy ; Curvature ; Cutting tools ; Dissection ; Duodenum ; Endoscopy ; Esophagus ; Gastrectomy ; Gastric cancer ; Hepatic artery ; Histopathology ; Lymph nodes ; Maneuvers ; Medical instruments ; Nodes ; Pain ; Raw materials ; Robotic surgery ; Spleen ; Splenic artery ; Surgery ; Total gastrectomy</subject><ispartof>Surgical oncology, 2020-03, Vol.32, p.48-48</ispartof><rights>2019 Elsevier Ltd</rights><rights>Copyright © 2019 Elsevier Ltd. All rights reserved.</rights><rights>2019. Elsevier Ltd</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c357t-42b8ebbb7328bb0cbaa98709074faa8fed8e5418f9856b40ec26f1a9a2d421853</citedby><cites>FETCH-LOGICAL-c357t-42b8ebbb7328bb0cbaa98709074faa8fed8e5418f9856b40ec26f1a9a2d421853</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://dx.doi.org/10.1016/j.suronc.2019.11.001$$EHTML$$P50$$Gelsevier$$H</linktohtml><link.rule.ids>314,777,781,3537,27905,27906,45976</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/31747635$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Benlice, Cigdem</creatorcontrib><creatorcontrib>Baca, Bilgi</creatorcontrib><creatorcontrib>Hamzaoglu, Ismail</creatorcontrib><creatorcontrib>Karahasanoglu, Tayfun</creatorcontrib><title>Fully robotic total gastrectomy with D2 lymphadenectomy for gastric cancer</title><title>Surgical oncology</title><addtitle>Surg Oncol</addtitle><description>Robotic surgery with technical advantages was shown to make complex maneuvers easier and more precise for gastric surgery [1]. This video demonstrates our technique on robotic total gastrectomy with the da Vinci Xi platform for gastric cancer.
68-year-old female was presented with persistent epigastric abdominal pain and underwent upper endoscopy showed ulcerated mass extended from the cardia to the lesser curvature. Histopathology showed gastric adenocarcinoma. After patient received neoadjuvant chemotherapy, decision was made to proceed with surgery.
Initially, greater curvature dissection was started by division of the gastrocolic ligament with entering the lesser sac with monopolar scissors and bipolar forceps. The right gastroomental vessels were identified and divided at their root along with lymph nodes. After ligation of the right gastric vessels, dissection was extended to retrieve lymph nodes around the left gastric vessels. Duodenum was circumferentially dissected and transected 2 cm distal to the pylorus. Subsequently, extended lymphadenectomy was started with suprapancreatic lymph node dissection to retrieve lymph nodes around the common hepatic artery and celiac axis. Spleen-preserving dissection of the lymphatic tissue of the distal splenic artery and the splenic hilum was performed. The distal esophagus was divided with robotic stapler. Fully robotic end-to-side esophagojejunal anastomosis was constructed. For the reconstruction of gastrointestinal continuity after total gastrectomy, side-to-side jejuno-jejunal anastomosis was performed. Total operative time was 5 hours and estimated blood loss was 20 cc.
Totally robotic gastrectomy with D2-lymphadenectomy is a safe technique for gastric cancer and provides intracorporeal suturing in reconstructing the anatomy.
•This video demonstrates our technique on robotic total gastrectomy with the da Vinci Xi platform for gastric cancer.•Robotic gastrectomy is a safe technique for gastric cancer and provides intracorporeal suturing in reconstructing anatomy.•Robotic surgery with technical advantages was shown to make complex maneuvers easier and more precise for gastric surgery.</description><subject>Adenocarcinoma</subject><subject>Anastomosis</subject><subject>Blood vessels</subject><subject>Cancer</subject><subject>Chemotherapy</subject><subject>Curvature</subject><subject>Cutting tools</subject><subject>Dissection</subject><subject>Duodenum</subject><subject>Endoscopy</subject><subject>Esophagus</subject><subject>Gastrectomy</subject><subject>Gastric cancer</subject><subject>Hepatic artery</subject><subject>Histopathology</subject><subject>Lymph nodes</subject><subject>Maneuvers</subject><subject>Medical instruments</subject><subject>Nodes</subject><subject>Pain</subject><subject>Raw materials</subject><subject>Robotic surgery</subject><subject>Spleen</subject><subject>Splenic artery</subject><subject>Surgery</subject><subject>Total gastrectomy</subject><issn>0960-7404</issn><issn>1879-3320</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2020</creationdate><recordtype>article</recordtype><recordid>eNp9kF1LwzAUhoMobk7_gUjB69aTjzbpjSDT-cHAG70OSZq6jm6ZSav035vR6aVXBw7P-x7Og9AlhgwDLm7WWei925qMAC4zjDMAfISmWPAypZTAMZpCWUDKGbAJOgthDQAFJ_gUTSjmjBc0n6KXRd-2Q-Kddl1jks51qk0-VOi8NZ3bDMl3062Se5K0w2a3UpXdHva18yMXU0ZtjfXn6KRWbbAXhzlD74uHt_lTunx9fJ7fLVNDc96ljGhhtdacEqE1GK1UKTiUwFmtlKhtJWzOsKhLkReagTWkqLEqFakYwSKnM3Q99u68--xt6OTa9X4bT0pCWUwKRlmk2EgZ70LwtpY732yUHyQGuRco13IUKPcCJcYyCoyxq0N5rze2-gv9GovA7QjY-OJXY70MprHx_6rZK5OVa_6_8AO0-YPq</recordid><startdate>202003</startdate><enddate>202003</enddate><creator>Benlice, Cigdem</creator><creator>Baca, Bilgi</creator><creator>Hamzaoglu, Ismail</creator><creator>Karahasanoglu, Tayfun</creator><general>Elsevier Ltd</general><general>Elsevier Limited</general><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7QO</scope><scope>8FD</scope><scope>FR3</scope><scope>K9.</scope><scope>P64</scope></search><sort><creationdate>202003</creationdate><title>Fully robotic total gastrectomy with D2 lymphadenectomy for gastric cancer</title><author>Benlice, Cigdem ; Baca, Bilgi ; Hamzaoglu, Ismail ; Karahasanoglu, Tayfun</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c357t-42b8ebbb7328bb0cbaa98709074faa8fed8e5418f9856b40ec26f1a9a2d421853</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2020</creationdate><topic>Adenocarcinoma</topic><topic>Anastomosis</topic><topic>Blood vessels</topic><topic>Cancer</topic><topic>Chemotherapy</topic><topic>Curvature</topic><topic>Cutting tools</topic><topic>Dissection</topic><topic>Duodenum</topic><topic>Endoscopy</topic><topic>Esophagus</topic><topic>Gastrectomy</topic><topic>Gastric cancer</topic><topic>Hepatic artery</topic><topic>Histopathology</topic><topic>Lymph nodes</topic><topic>Maneuvers</topic><topic>Medical instruments</topic><topic>Nodes</topic><topic>Pain</topic><topic>Raw materials</topic><topic>Robotic surgery</topic><topic>Spleen</topic><topic>Splenic artery</topic><topic>Surgery</topic><topic>Total gastrectomy</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Benlice, Cigdem</creatorcontrib><creatorcontrib>Baca, Bilgi</creatorcontrib><creatorcontrib>Hamzaoglu, Ismail</creatorcontrib><creatorcontrib>Karahasanoglu, Tayfun</creatorcontrib><collection>PubMed</collection><collection>CrossRef</collection><collection>Biotechnology Research Abstracts</collection><collection>Technology Research Database</collection><collection>Engineering Research Database</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Biotechnology and BioEngineering Abstracts</collection><jtitle>Surgical oncology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Benlice, Cigdem</au><au>Baca, Bilgi</au><au>Hamzaoglu, Ismail</au><au>Karahasanoglu, Tayfun</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Fully robotic total gastrectomy with D2 lymphadenectomy for gastric cancer</atitle><jtitle>Surgical oncology</jtitle><addtitle>Surg Oncol</addtitle><date>2020-03</date><risdate>2020</risdate><volume>32</volume><spage>48</spage><epage>48</epage><pages>48-48</pages><issn>0960-7404</issn><eissn>1879-3320</eissn><abstract>Robotic surgery with technical advantages was shown to make complex maneuvers easier and more precise for gastric surgery [1]. This video demonstrates our technique on robotic total gastrectomy with the da Vinci Xi platform for gastric cancer.
68-year-old female was presented with persistent epigastric abdominal pain and underwent upper endoscopy showed ulcerated mass extended from the cardia to the lesser curvature. Histopathology showed gastric adenocarcinoma. After patient received neoadjuvant chemotherapy, decision was made to proceed with surgery.
Initially, greater curvature dissection was started by division of the gastrocolic ligament with entering the lesser sac with monopolar scissors and bipolar forceps. The right gastroomental vessels were identified and divided at their root along with lymph nodes. After ligation of the right gastric vessels, dissection was extended to retrieve lymph nodes around the left gastric vessels. Duodenum was circumferentially dissected and transected 2 cm distal to the pylorus. Subsequently, extended lymphadenectomy was started with suprapancreatic lymph node dissection to retrieve lymph nodes around the common hepatic artery and celiac axis. Spleen-preserving dissection of the lymphatic tissue of the distal splenic artery and the splenic hilum was performed. The distal esophagus was divided with robotic stapler. Fully robotic end-to-side esophagojejunal anastomosis was constructed. For the reconstruction of gastrointestinal continuity after total gastrectomy, side-to-side jejuno-jejunal anastomosis was performed. Total operative time was 5 hours and estimated blood loss was 20 cc.
Totally robotic gastrectomy with D2-lymphadenectomy is a safe technique for gastric cancer and provides intracorporeal suturing in reconstructing the anatomy.
•This video demonstrates our technique on robotic total gastrectomy with the da Vinci Xi platform for gastric cancer.•Robotic gastrectomy is a safe technique for gastric cancer and provides intracorporeal suturing in reconstructing anatomy.•Robotic surgery with technical advantages was shown to make complex maneuvers easier and more precise for gastric surgery.</abstract><cop>Netherlands</cop><pub>Elsevier Ltd</pub><pmid>31747635</pmid><doi>10.1016/j.suronc.2019.11.001</doi><tpages>1</tpages></addata></record> |
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subjects | Adenocarcinoma Anastomosis Blood vessels Cancer Chemotherapy Curvature Cutting tools Dissection Duodenum Endoscopy Esophagus Gastrectomy Gastric cancer Hepatic artery Histopathology Lymph nodes Maneuvers Medical instruments Nodes Pain Raw materials Robotic surgery Spleen Splenic artery Surgery Total gastrectomy |
title | Fully robotic total gastrectomy with D2 lymphadenectomy for gastric cancer |
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