Esophagojejunostomy reconstruction using a robot-sewing technique during totally robotic total gastrectomy for gastric cancer.

Hepato-gastroenterology Pub Date : 2015-03-01
Zhi-Wei Jiang, Jiang Liu, Gang Wang, Kun Zhao, Shu Zhang, Ning Li, Jie-Shou Li
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引用次数: 0

Abstract

Background/aims: The aim of this study was to report on the feasibility of esophagojejunostomy reconstruction using a robot-sewing technique during a completely robotic total gastrectomy for gastric cancer.

Methodology: Between May 2011 and July 2012, 65 patients in whom gastric adenocarcinoma was diagnosed underwent a completely robotic total gastrectomy, including a robot-sewing esophagojejunal anastomosis. We demonstrated the surgical techniques with analysis of clinicopathologic data and short-term surgical outcomes.

Results: All robotic surgeries were successfully performed without conversion. Among the 65 patients, 46 were men and 19 were women. The mean age (± SD) was 57.8 ± 6.5 y. The mean total operative time (± SD), EJ anastomosis time (± SD), and blood loss (± SD) were 245 ± 53 min, 45 ± 26 min, and 75 ± 50 ml, respectively. The mean (± SD) post-operative hospital stay was 5.4 ± 2.5 d. One patient was readmitted for an intestinal obstruction and underwent re-operation 14 d post-operatively; he recovered uneventfully and was discharged 10 d post- operatively. During the follow-up, no patients developed an esophgojejunostomy stricture.

Conclusions: A robot-sewing anastomosis for esophagojejunostomy reconstruction during robotic total gastrectomy for gastric cancer is feasible. Indeed, a robot-sewing anastomosis for esophagojejunostomy reconstruction may become a standard surgical technique during completely robotic total gastrectomy for gastric cancer.

全机器人胃癌全胃切除术中应用机器人缝合技术重建食管空肠吻合术。
背景/目的:本研究的目的是报道在全机器人胃癌全胃切除术中使用机器人缝合技术重建食管空肠造口的可行性。方法:2011年5月至2012年7月,65例诊断为胃腺癌的患者接受了完全机器人全胃切除术,包括机器人缝合食管空肠吻合术。我们通过分析临床病理资料和短期手术结果来证明手术技术。结果:所有机器人手术均成功,无转换。65例患者中,男性46例,女性19例。平均年龄(±SD) 57.8±6.5岁,平均总手术时间(±SD) 245±53 min,平均EJ吻合时间(±SD) 45±26 min,平均出血量(±SD) 75±50 ml。术后平均住院时间(±SD)为5.4±2.5 d。1例患者因肠梗阻再次入院,术后14 d再次手术;术后10天,患者顺利康复出院。随访期间,无患者发生食管空肠吻合术狭窄。结论:机器人缝合吻合术在机器人胃癌全胃切除术中用于食管空肠吻合术重建是可行的。事实上,机器人缝合吻合术用于食管空肠吻合术重建可能成为完全机器人胃癌全胃切除术的标准手术技术。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
Hepato-gastroenterology
Hepato-gastroenterology 医学-外科
自引率
0.00%
发文量
1
审稿时长
1.9 months
期刊介绍: Hepato-Gastroenterology has been discontinued as of 2015. Extremely limited quantities of back issues in print available for sale.
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