A novel single-port robotic proximal gastrectomy with right-sided overlap and single-flap valvuloplasty (RPG-ROSF) to treat gastroesophageal cancer: A case report

IF 0.9 Q4 ORTHOPEDICS Asian Journal of Endoscopic Surgery Pub Date : 2024-09-08 DOI:10.1111/ases.13378

Laizhen Tou, Chuan Jiang, Dan Wu, Jingjing Zheng, Desheng Luo, Haifeng Que, Zheng Sun, Chuanguang Wang, Yue Wang, Xudong Tao, Jiaxun Wang, Chengchang Li, Shuling Li, Xiaoxiao Zhu, Hongtao Xu

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Abstract

Robotic surgery has been widely used in surgical gastric cancer treatments, including proximal gastrectomy. Single-port robotic system is gaining more popularity in robotic surgery, but there has been no report on its application in robotic proximal gastrectomy with right-sided overlap and single-flap valvuloplasty (RPG-ROSF). Here, we report an RPG-ROSF using a novel single-port robotic system in a 51-year-old male patient with an early-stage gastroesophageal cancer detected by gastroscopy. It took 90 min for robotic setup, 143 min for dissection, and 161 min for digestive tract reconstruction. There was no complication during and after the surgery. The patient was discharged in 8 days postsurgery. The pathological staging of the adenocarcinoma was pT1aN0M0. This preliminary study demonstrated the feasibility and safety of a novel single-port robot in RPG-ROSF.

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治疗胃食管癌的新型单孔机器人近端胃切除术与右侧重叠和单瓣瓣膜成形术（RPG-ROSF）：病例报告。

机器人手术已广泛应用于胃癌的外科治疗，包括近端胃切除术。单孔机器人系统在机器人手术中越来越受欢迎，但在机器人近端胃切除术加右侧重叠和单瓣瓣膜成形术（RPG-ROSF）中的应用尚未见报道。在此，我们报告了使用新型单孔机器人系统对一名 51 岁男性患者进行的 RPG-ROSF 手术，该患者经胃镜检查发现患有早期胃食管癌。机器人安装耗时 90 分钟，解剖耗时 143 分钟，消化道重建耗时 161 分钟。术中和术后均无并发症。患者术后8天出院。腺癌的病理分期为 pT1aN0M0。这项初步研究证明了新型单孔机器人在RPG-ROSF手术中的可行性和安全性。

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