Robotic digestive tract reconstruction after total gastrectomy for gastric cancer: a simple way to do it
Background Intracorporeal digestive tract reconstruction after minimally invasive total gastrectomy may be challenging, even when using the da Vinci® Surgical System. This may be due to intrinsic difficulties during oesophago–jejunal anastomosis (EJA). The aim of this study was to describe a simple...
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| Veröffentlicht in: | The international journal of medical robotics + computer assisted surgery 2016-12, Vol.12 (4), p.598-603 |
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| container_title | The international journal of medical robotics + computer assisted surgery |
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| creator | Barchi, Leandro Cardoso Jacob, Carlos Eduardo Franciss, Maurice Youssef Kappaz, Guilherme Tommasi Rodrigues Filho, Edison Dias Zilberstein, Bruno |
| description | Background
Intracorporeal digestive tract reconstruction after minimally invasive total gastrectomy may be challenging, even when using the da Vinci® Surgical System. This may be due to intrinsic difficulties during oesophago–jejunal anastomosis (EJA). The aim of this study was to describe a simple way to perform digestive tract reconstruction after robotic total gastrectomy (RTG) for gastric cancer and the results of its application in a small series of cases.
Methods
In the last 2 years, six patients with gastric adenocarcinoma have been treated by RTG, four male and two female, with mean age of 59.8 (range 48–74) years. The tumour was located in the gastric body in three patients, the gastric antrum in two patients and the fundus in one patient with no need of splenectomy. In all cases, D2 lymphadenectomy was completed. A modified robotic reconstruction technique proposed by the authors was used in these operations, which consists in a latero–lateral EJA using a linear stapler. An entero–enterostomy is also performed in the upper abdomen.
Results
The mean operative time was 408 (range 340–481) min. The mean time for digestive tract reconstruction was 57 (range 47–68) min. There were no conversions to open or laparoscopic surgery. The number of lymph nodes removed varied in the range 28–52 (average 40). There was no mortality. Postoperative staging showed three T1N0M0s, one T2N0M0, one T3N0M0 and one T3N2M0.
Conclusion
This series, which despite being small, demonstrates that this robotic reconstruction technique is safe, with no major complications, demands a relatively short time for its accomplishment, even when dealing with initial experience. Copyright © 2015 John Wiley & Sons, Ltd. |
| doi_str_mv | 10.1002/rcs.1720 |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_1864563026</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>4269867731</sourcerecordid><originalsourceid>FETCH-LOGICAL-c4200-56bd011d88b07b683f659464a294651747cc709b684c839dcf9dde734105cf163</originalsourceid><addsrcrecordid>eNqNkV1LHDEUhoNUqm4L_gIJ9KY3oycz-ZjpXVnqB6xKbUXvQiaTsbEzkzXJqPvvzbLrUoSCN_k6Tx5y8iK0T-CQAORHXodDInLYQruEijJjFb_9sFkzsoP2QrgHoIxy-hHt5JynkqC76M-Vq120Gjf2zoRoHw2OXumIvdFuCNGPOlo3YNVG43F0UXX4TqVzo6PrF7h1frVPCq0Gbfw3rHCw_bwz-Ekt0hXcOGzjJ7Tdqi6Yz-t5gq6Pf_yenmazy5Oz6fdZpmkOkDFeN0BIU5Y1iJqXRctZlR6t8jQyIqjQWkCVKlSXRdXotmoaIwpKgOmW8GKCvq68c-8extSS7G3QpuvUYNwYJCk5ZbyA_D3o8p-AE5bQL2_Qezf6ITWSKMpKUQL8I9TeheBNK-fe9sovJAG5DEqmoOQyqIQerIVj3ZtmA74mk4BsBTzZziz-K5JX019r4Zq3IZrnDa_8X8lFIZi8uTiRRX57Tn5yInnxAgf-qgk</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>1845878006</pqid></control><display><type>article</type><title>Robotic digestive tract reconstruction after total gastrectomy for gastric cancer: a simple way to do it</title><source>MEDLINE</source><source>Wiley Online Library Journals Frontfile Complete</source><creator>Barchi, Leandro Cardoso ; Jacob, Carlos Eduardo ; Franciss, Maurice Youssef ; Kappaz, Guilherme Tommasi ; Rodrigues Filho, Edison Dias ; Zilberstein, Bruno</creator><creatorcontrib>Barchi, Leandro Cardoso ; Jacob, Carlos Eduardo ; Franciss, Maurice Youssef ; Kappaz, Guilherme Tommasi ; Rodrigues Filho, Edison Dias ; Zilberstein, Bruno</creatorcontrib><description>Background
Intracorporeal digestive tract reconstruction after minimally invasive total gastrectomy may be challenging, even when using the da Vinci® Surgical System. This may be due to intrinsic difficulties during oesophago–jejunal anastomosis (EJA). The aim of this study was to describe a simple way to perform digestive tract reconstruction after robotic total gastrectomy (RTG) for gastric cancer and the results of its application in a small series of cases.
Methods
In the last 2 years, six patients with gastric adenocarcinoma have been treated by RTG, four male and two female, with mean age of 59.8 (range 48–74) years. The tumour was located in the gastric body in three patients, the gastric antrum in two patients and the fundus in one patient with no need of splenectomy. In all cases, D2 lymphadenectomy was completed. A modified robotic reconstruction technique proposed by the authors was used in these operations, which consists in a latero–lateral EJA using a linear stapler. An entero–enterostomy is also performed in the upper abdomen.
Results
The mean operative time was 408 (range 340–481) min. The mean time for digestive tract reconstruction was 57 (range 47–68) min. There were no conversions to open or laparoscopic surgery. The number of lymph nodes removed varied in the range 28–52 (average 40). There was no mortality. Postoperative staging showed three T1N0M0s, one T2N0M0, one T3N0M0 and one T3N2M0.
Conclusion
This series, which despite being small, demonstrates that this robotic reconstruction technique is safe, with no major complications, demands a relatively short time for its accomplishment, even when dealing with initial experience. Copyright © 2015 John Wiley & Sons, Ltd.</description><identifier>ISSN: 1478-5951</identifier><identifier>EISSN: 1478-596X</identifier><identifier>DOI: 10.1002/rcs.1720</identifier><identifier>PMID: 26647874</identifier><language>eng</language><publisher>England: Blackwell Publishing Ltd</publisher><subject>Aged ; Anastomosis, Roux-en-Y - methods ; Anastomosis, Surgical ; Cancer ; Conversion ; Esophagus - surgery ; Female ; Gastrectomy - methods ; gastric cancer ; Gastrointestinal Tract - surgery ; Humans ; Jejunum - surgery ; Lymph ; Lymph Nodes - surgery ; Male ; Middle Aged ; minimally invasive surgery ; Mortality ; Operative Time ; Patients ; Reconstruction ; Reconstructive Surgical Procedures - methods ; robotic gastrectomy ; Robotic Surgical Procedures - methods ; Robotics ; Stomach - surgery ; Stomach Neoplasms - surgery ; Surgery ; total gastrectomy</subject><ispartof>The international journal of medical robotics + computer assisted surgery, 2016-12, Vol.12 (4), p.598-603</ispartof><rights>Copyright © 2015 John Wiley & Sons, Ltd.</rights><rights>Copyright © 2016 John Wiley & Sons, Ltd.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c4200-56bd011d88b07b683f659464a294651747cc709b684c839dcf9dde734105cf163</citedby><cites>FETCH-LOGICAL-c4200-56bd011d88b07b683f659464a294651747cc709b684c839dcf9dde734105cf163</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://onlinelibrary.wiley.com/doi/pdf/10.1002%2Frcs.1720$$EPDF$$P50$$Gwiley$$H</linktopdf><linktohtml>$$Uhttps://onlinelibrary.wiley.com/doi/full/10.1002%2Frcs.1720$$EHTML$$P50$$Gwiley$$H</linktohtml><link.rule.ids>314,776,780,1411,27901,27902,45550,45551</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/26647874$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Barchi, Leandro Cardoso</creatorcontrib><creatorcontrib>Jacob, Carlos Eduardo</creatorcontrib><creatorcontrib>Franciss, Maurice Youssef</creatorcontrib><creatorcontrib>Kappaz, Guilherme Tommasi</creatorcontrib><creatorcontrib>Rodrigues Filho, Edison Dias</creatorcontrib><creatorcontrib>Zilberstein, Bruno</creatorcontrib><title>Robotic digestive tract reconstruction after total gastrectomy for gastric cancer: a simple way to do it</title><title>The international journal of medical robotics + computer assisted surgery</title><addtitle>Int J Med Robotics Comput Assist Surg</addtitle><description>Background
Intracorporeal digestive tract reconstruction after minimally invasive total gastrectomy may be challenging, even when using the da Vinci® Surgical System. This may be due to intrinsic difficulties during oesophago–jejunal anastomosis (EJA). The aim of this study was to describe a simple way to perform digestive tract reconstruction after robotic total gastrectomy (RTG) for gastric cancer and the results of its application in a small series of cases.
Methods
In the last 2 years, six patients with gastric adenocarcinoma have been treated by RTG, four male and two female, with mean age of 59.8 (range 48–74) years. The tumour was located in the gastric body in three patients, the gastric antrum in two patients and the fundus in one patient with no need of splenectomy. In all cases, D2 lymphadenectomy was completed. A modified robotic reconstruction technique proposed by the authors was used in these operations, which consists in a latero–lateral EJA using a linear stapler. An entero–enterostomy is also performed in the upper abdomen.
Results
The mean operative time was 408 (range 340–481) min. The mean time for digestive tract reconstruction was 57 (range 47–68) min. There were no conversions to open or laparoscopic surgery. The number of lymph nodes removed varied in the range 28–52 (average 40). There was no mortality. Postoperative staging showed three T1N0M0s, one T2N0M0, one T3N0M0 and one T3N2M0.
Conclusion
This series, which despite being small, demonstrates that this robotic reconstruction technique is safe, with no major complications, demands a relatively short time for its accomplishment, even when dealing with initial experience. Copyright © 2015 John Wiley & Sons, Ltd.</description><subject>Aged</subject><subject>Anastomosis, Roux-en-Y - methods</subject><subject>Anastomosis, Surgical</subject><subject>Cancer</subject><subject>Conversion</subject><subject>Esophagus - surgery</subject><subject>Female</subject><subject>Gastrectomy - methods</subject><subject>gastric cancer</subject><subject>Gastrointestinal Tract - surgery</subject><subject>Humans</subject><subject>Jejunum - surgery</subject><subject>Lymph</subject><subject>Lymph Nodes - surgery</subject><subject>Male</subject><subject>Middle Aged</subject><subject>minimally invasive surgery</subject><subject>Mortality</subject><subject>Operative Time</subject><subject>Patients</subject><subject>Reconstruction</subject><subject>Reconstructive Surgical Procedures - methods</subject><subject>robotic gastrectomy</subject><subject>Robotic Surgical Procedures - methods</subject><subject>Robotics</subject><subject>Stomach - surgery</subject><subject>Stomach Neoplasms - surgery</subject><subject>Surgery</subject><subject>total gastrectomy</subject><issn>1478-5951</issn><issn>1478-596X</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2016</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqNkV1LHDEUhoNUqm4L_gIJ9KY3oycz-ZjpXVnqB6xKbUXvQiaTsbEzkzXJqPvvzbLrUoSCN_k6Tx5y8iK0T-CQAORHXodDInLYQruEijJjFb_9sFkzsoP2QrgHoIxy-hHt5JynkqC76M-Vq120Gjf2zoRoHw2OXumIvdFuCNGPOlo3YNVG43F0UXX4TqVzo6PrF7h1frVPCq0Gbfw3rHCw_bwz-Ekt0hXcOGzjJ7Tdqi6Yz-t5gq6Pf_yenmazy5Oz6fdZpmkOkDFeN0BIU5Y1iJqXRctZlR6t8jQyIqjQWkCVKlSXRdXotmoaIwpKgOmW8GKCvq68c-8extSS7G3QpuvUYNwYJCk5ZbyA_D3o8p-AE5bQL2_Qezf6ITWSKMpKUQL8I9TeheBNK-fe9sovJAG5DEqmoOQyqIQerIVj3ZtmA74mk4BsBTzZziz-K5JX019r4Zq3IZrnDa_8X8lFIZi8uTiRRX57Tn5yInnxAgf-qgk</recordid><startdate>201612</startdate><enddate>201612</enddate><creator>Barchi, Leandro Cardoso</creator><creator>Jacob, Carlos Eduardo</creator><creator>Franciss, Maurice Youssef</creator><creator>Kappaz, Guilherme Tommasi</creator><creator>Rodrigues Filho, Edison Dias</creator><creator>Zilberstein, Bruno</creator><general>Blackwell Publishing Ltd</general><general>Wiley Subscription Services, Inc</general><scope>BSCLL</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7SC</scope><scope>7SP</scope><scope>7TB</scope><scope>8FD</scope><scope>F28</scope><scope>FR3</scope><scope>JQ2</scope><scope>K9.</scope><scope>L7M</scope><scope>L~C</scope><scope>L~D</scope><scope>7X8</scope></search><sort><creationdate>201612</creationdate><title>Robotic digestive tract reconstruction after total gastrectomy for gastric cancer: a simple way to do it</title><author>Barchi, Leandro Cardoso ; Jacob, Carlos Eduardo ; Franciss, Maurice Youssef ; Kappaz, Guilherme Tommasi ; Rodrigues Filho, Edison Dias ; Zilberstein, Bruno</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c4200-56bd011d88b07b683f659464a294651747cc709b684c839dcf9dde734105cf163</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2016</creationdate><topic>Aged</topic><topic>Anastomosis, Roux-en-Y - methods</topic><topic>Anastomosis, Surgical</topic><topic>Cancer</topic><topic>Conversion</topic><topic>Esophagus - surgery</topic><topic>Female</topic><topic>Gastrectomy - methods</topic><topic>gastric cancer</topic><topic>Gastrointestinal Tract - surgery</topic><topic>Humans</topic><topic>Jejunum - surgery</topic><topic>Lymph</topic><topic>Lymph Nodes - surgery</topic><topic>Male</topic><topic>Middle Aged</topic><topic>minimally invasive surgery</topic><topic>Mortality</topic><topic>Operative Time</topic><topic>Patients</topic><topic>Reconstruction</topic><topic>Reconstructive Surgical Procedures - methods</topic><topic>robotic gastrectomy</topic><topic>Robotic Surgical Procedures - methods</topic><topic>Robotics</topic><topic>Stomach - surgery</topic><topic>Stomach Neoplasms - surgery</topic><topic>Surgery</topic><topic>total gastrectomy</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Barchi, Leandro Cardoso</creatorcontrib><creatorcontrib>Jacob, Carlos Eduardo</creatorcontrib><creatorcontrib>Franciss, Maurice Youssef</creatorcontrib><creatorcontrib>Kappaz, Guilherme Tommasi</creatorcontrib><creatorcontrib>Rodrigues Filho, Edison Dias</creatorcontrib><creatorcontrib>Zilberstein, Bruno</creatorcontrib><collection>Istex</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Computer and Information Systems Abstracts</collection><collection>Electronics & Communications Abstracts</collection><collection>Mechanical & Transportation Engineering Abstracts</collection><collection>Technology Research Database</collection><collection>ANTE: Abstracts in New Technology & Engineering</collection><collection>Engineering Research Database</collection><collection>ProQuest Computer Science Collection</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Advanced Technologies Database with Aerospace</collection><collection>Computer and Information Systems Abstracts Academic</collection><collection>Computer and Information Systems Abstracts Professional</collection><collection>MEDLINE - Academic</collection><jtitle>The international journal of medical robotics + computer assisted surgery</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Barchi, Leandro Cardoso</au><au>Jacob, Carlos Eduardo</au><au>Franciss, Maurice Youssef</au><au>Kappaz, Guilherme Tommasi</au><au>Rodrigues Filho, Edison Dias</au><au>Zilberstein, Bruno</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Robotic digestive tract reconstruction after total gastrectomy for gastric cancer: a simple way to do it</atitle><jtitle>The international journal of medical robotics + computer assisted surgery</jtitle><addtitle>Int J Med Robotics Comput Assist Surg</addtitle><date>2016-12</date><risdate>2016</risdate><volume>12</volume><issue>4</issue><spage>598</spage><epage>603</epage><pages>598-603</pages><issn>1478-5951</issn><eissn>1478-596X</eissn><abstract>Background
Intracorporeal digestive tract reconstruction after minimally invasive total gastrectomy may be challenging, even when using the da Vinci® Surgical System. This may be due to intrinsic difficulties during oesophago–jejunal anastomosis (EJA). The aim of this study was to describe a simple way to perform digestive tract reconstruction after robotic total gastrectomy (RTG) for gastric cancer and the results of its application in a small series of cases.
Methods
In the last 2 years, six patients with gastric adenocarcinoma have been treated by RTG, four male and two female, with mean age of 59.8 (range 48–74) years. The tumour was located in the gastric body in three patients, the gastric antrum in two patients and the fundus in one patient with no need of splenectomy. In all cases, D2 lymphadenectomy was completed. A modified robotic reconstruction technique proposed by the authors was used in these operations, which consists in a latero–lateral EJA using a linear stapler. An entero–enterostomy is also performed in the upper abdomen.
Results
The mean operative time was 408 (range 340–481) min. The mean time for digestive tract reconstruction was 57 (range 47–68) min. There were no conversions to open or laparoscopic surgery. The number of lymph nodes removed varied in the range 28–52 (average 40). There was no mortality. Postoperative staging showed three T1N0M0s, one T2N0M0, one T3N0M0 and one T3N2M0.
Conclusion
This series, which despite being small, demonstrates that this robotic reconstruction technique is safe, with no major complications, demands a relatively short time for its accomplishment, even when dealing with initial experience. Copyright © 2015 John Wiley & Sons, Ltd.</abstract><cop>England</cop><pub>Blackwell Publishing Ltd</pub><pmid>26647874</pmid><doi>10.1002/rcs.1720</doi><tpages>6</tpages></addata></record> |
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| subjects | Aged Anastomosis, Roux-en-Y - methods Anastomosis, Surgical Cancer Conversion Esophagus - surgery Female Gastrectomy - methods gastric cancer Gastrointestinal Tract - surgery Humans Jejunum - surgery Lymph Lymph Nodes - surgery Male Middle Aged minimally invasive surgery Mortality Operative Time Patients Reconstruction Reconstructive Surgical Procedures - methods robotic gastrectomy Robotic Surgical Procedures - methods Robotics Stomach - surgery Stomach Neoplasms - surgery Surgery total gastrectomy |
| title | Robotic digestive tract reconstruction after total gastrectomy for gastric cancer: a simple way to do it |
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