論文

査読有り
2017年7月

Technique of totally robotic delta-shaped anastomosis in distal gastrectomy

JOURNAL OF MINIMAL ACCESS SURGERY
  • Hidehiko Kitagami
  • ,
  • Keisuke Nonoyama
  • ,
  • Akira Yasuda
  • ,
  • Yo Kurashima
  • ,
  • Kaori Watanabe
  • ,
  • Shiro Fujihata
  • ,
  • Minoru Yamamoto
  • ,
  • Yasunobu Shimizu
  • ,
  • Moritsugu Tanaka

13
3
開始ページ
215
終了ページ
218
記述言語
英語
掲載種別
研究論文(学術雑誌)
DOI
10.4103/jmas.JMAS_109_16
出版者・発行元
MEDKNOW PUBLICATIONS & MEDIA PVT LTD

BACKGROUND: We aimed to clarify the utility of delta-shaped anastomosis (Delta), an intracorporeal Billroth-I anastomosis-based reconstruction technique used after laparoscopy-assisted distal gastrectomy (LADG), in robot-assisted distal gastrectomy (RADG). METHODS: RADG was performed in patients with clinical Stage I gastric cancer, and reconstruction was performed using Delta. The Delta procedure was the same as that performed after LADG, and the operator practiced the procedure in simulated settings with surgical assistants before the operation. After gastrectomy, the scope and robotic first arm were reinserted from separate ports on the right side of the patient. Then, a port on the left side of the abdomen was used as the assistant port from which a stapler was inserted, with the robotic arm in a coaxial mode. The surgical assistant performed functional end-to-end anastomosis of the remnant stomach and duodenal stump using a powered stapler. RESULTS: The mean anastomotic time in four patients who underwent Delta after RADG was 16.5 min. All patients were discharged on the post-operative day 7 without any post-operative complications or need for readmission. CONCLUSIONS: Pre-operative simulation, changes in ports for insertion of the scope and robotic first arm, continuation of the coaxial operation, and use of a powered stapler made Delta applicable for RADG. Delta can be considered as a useful reconstruction method.

Web of Science ® 被引用回数 : 2

リンク情報
DOI
https://doi.org/10.4103/jmas.JMAS_109_16
PubMed
https://www.ncbi.nlm.nih.gov/pubmed/28607290
Web of Science
https://gateway.webofknowledge.com/gateway/Gateway.cgi?GWVersion=2&SrcAuth=JSTA_CEL&SrcApp=J_Gate_JST&DestLinkType=FullRecord&KeyUT=WOS:000403568000009&DestApp=WOS_CPL
ID情報
  • DOI : 10.4103/jmas.JMAS_109_16
  • ISSN : 0972-9941
  • eISSN : 1998-3921
  • PubMed ID : 28607290
  • Web of Science ID : WOS:000403568000009

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