Reduced-Ports Robotic Pylorus-Preserving Gastrectomy for Gastric Cancer.

IF 2.3 3区 医学 Q2 SURGERY World Journal of Surgery Pub Date : 2025-03-11 DOI:10.1002/wjs.12543
So Hyun Kang, Nehal Jambi, Eunju Lee, Young Suk Park, Sang-Hoon Ahn, Yun-Suhk Suh, Hyung-Ho Kim
{"title":"Reduced-Ports Robotic Pylorus-Preserving Gastrectomy for Gastric Cancer.","authors":"So Hyun Kang, Nehal Jambi, Eunju Lee, Young Suk Park, Sang-Hoon Ahn, Yun-Suhk Suh, Hyung-Ho Kim","doi":"10.1002/wjs.12543","DOIUrl":null,"url":null,"abstract":"<p><strong>Background: </strong>Laparoscopic gastrectomy has proven to be safe and effective as a first-line treatment for early gastric cancer in terms of oncologic results. The da Vinci robotic system offers stable 3D vision, near-infrared fluorescence imaging, and articulating wrist movements, making it suitable for performing reduced-ports robotic pylorus-preserving gastrectomy (RP-RPPG). This study examines the feasibility and safety of RP-RPPG for gastric cancer.</p><p><strong>Methods: </strong>Patients who underwent RP-RPPG at a single institution from March 2019 to October 2023 were enrolled. Electronic medical records were retrospectively reviewed for operative time, estimated blood loss (EBL), retrieved number of lymph nodes, postoperative hospital course, and early complications. Learning curve using operation time was analyzed through cumulative sum (CUSUM) and segmental analysis methods.</p><p><strong>Results: </strong>Among the 79 patients included, the median operation time was 175.0 (66.0) minutes, and estimated blood loss was 10.0 (25.0) mL. Early complications occurred in 6 patients (7.6%), but all were managed conservatively without needing invasive intervention. Among them, delayed gastric emptying was observed in 3 patients (3.8%). The learning curve analysis indicated a proficiency threshold after the 38th procedure, aligning with a subsequent decrease in operative times as the surgeon's experience progressed.</p><p><strong>Conclusion: </strong>RP-RPPG is feasible and can be performed safely by an experienced surgeon without increasing early postoperative morbidity.</p>","PeriodicalId":23926,"journal":{"name":"World Journal of Surgery","volume":" ","pages":""},"PeriodicalIF":2.3000,"publicationDate":"2025-03-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"World Journal of Surgery","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1002/wjs.12543","RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q2","JCRName":"SURGERY","Score":null,"Total":0}
引用次数: 0

Abstract

Background: Laparoscopic gastrectomy has proven to be safe and effective as a first-line treatment for early gastric cancer in terms of oncologic results. The da Vinci robotic system offers stable 3D vision, near-infrared fluorescence imaging, and articulating wrist movements, making it suitable for performing reduced-ports robotic pylorus-preserving gastrectomy (RP-RPPG). This study examines the feasibility and safety of RP-RPPG for gastric cancer.

Methods: Patients who underwent RP-RPPG at a single institution from March 2019 to October 2023 were enrolled. Electronic medical records were retrospectively reviewed for operative time, estimated blood loss (EBL), retrieved number of lymph nodes, postoperative hospital course, and early complications. Learning curve using operation time was analyzed through cumulative sum (CUSUM) and segmental analysis methods.

Results: Among the 79 patients included, the median operation time was 175.0 (66.0) minutes, and estimated blood loss was 10.0 (25.0) mL. Early complications occurred in 6 patients (7.6%), but all were managed conservatively without needing invasive intervention. Among them, delayed gastric emptying was observed in 3 patients (3.8%). The learning curve analysis indicated a proficiency threshold after the 38th procedure, aligning with a subsequent decrease in operative times as the surgeon's experience progressed.

Conclusion: RP-RPPG is feasible and can be performed safely by an experienced surgeon without increasing early postoperative morbidity.

查看原文
分享 分享
微信好友 朋友圈 QQ好友 复制链接
本刊更多论文
求助全文
约1分钟内获得全文 去求助
来源期刊
World Journal of Surgery
World Journal of Surgery 医学-外科
CiteScore
5.10
自引率
3.80%
发文量
460
审稿时长
3 months
期刊介绍: World Journal of Surgery is the official publication of the International Society of Surgery/Societe Internationale de Chirurgie (iss-sic.com). Under the editorship of Dr. Julie Ann Sosa, World Journal of Surgery provides an in-depth, international forum for the most authoritative information on major clinical problems in the fields of clinical and experimental surgery, surgical education, and socioeconomic aspects of surgical care. Contributions are reviewed and selected by a group of distinguished surgeons from across the world who make up the Editorial Board.
期刊最新文献
A Comparative Analysis of Scoring Systems and MRI for Diagnosing Acute Appendicitis in Pregnant Patients. Surgical Management of Postcholecystectomy Strasberg Type E4 Bile Duct Injuries. An Implementation Gap of 120 Years: Complex Problems, Such as Family Planning, Pregnancy, and Parenthood in Surgical Training Require Suitable Research Paradigms and Innovative Change. Correction to: Strengths and Opportunities for Improvement in Surgical Education in Ukraine: A Qualitative Study. Ali Dzhemiliev, Marta Antoniv, Inesa Huivaniuk, et al. World J Surg. 2024; https://doi.org/10.1002/wjs.12262. Reduced-Ports Robotic Pylorus-Preserving Gastrectomy for Gastric Cancer.
×
引用
GB/T 7714-2015
复制
MLA
复制
APA
复制
导出至
BibTeX EndNote RefMan NoteFirst NoteExpress
×
×
提示
您的信息不完整,为了账户安全,请先补充。
现在去补充
×
提示
您因"违规操作"
具体请查看互助需知
我知道了
×
提示
现在去查看 取消
×
提示
确定
0
微信
客服QQ
Book学术公众号 扫码关注我们
反馈
×
意见反馈
请填写您的意见或建议
请填写您的手机或邮箱
已复制链接
已复制链接
快去分享给好友吧!
我知道了
×
扫码分享
扫码分享
Book学术官方微信
Book学术文献互助
Book学术文献互助群
群 号:481959085
Book学术
文献互助 智能选刊 最新文献 互助须知 联系我们:info@booksci.cn
Book学术提供免费学术资源搜索服务,方便国内外学者检索中英文文献。致力于提供最便捷和优质的服务体验。
Copyright © 2023 Book学术 All rights reserved.
ghs 京公网安备 11010802042870号 京ICP备2023020795号-1