Cargando…

ROBOTIC GASTRECTOMY: TECHNIQUE STANDARDIZATION

BACKGROUND: Robotic gastrectomy is gaining popularity worldwide. It allows reduced blood loss and lesser pain. However, it widespread use is limited by the extensive learning curve and costs. AIM: To describe our standard technique with reduced use of robotic instruments. METHODS: We detail the step...

Descripción completa

Detalles Bibliográficos
Autores principales: DIAS, Andre Roncon, RAMOS, Marcus Fernando Kodama Pertille, SZOR, Daniel Jose, ABDALLA, Ricardo, BARCHI, Leandro, YAGI, Osmar Kenji, RIBEIRO-JUNIOR, Ulysses, ZILBERSTEIN, Bruno, CECCONELLO, Ivan
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Colégio Brasileiro de Cirurgia Digestiva 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7812686/
https://www.ncbi.nlm.nih.gov/pubmed/33470372
http://dx.doi.org/10.1590/0102-672020200003e1542
Descripción
Sumario:BACKGROUND: Robotic gastrectomy is gaining popularity worldwide. It allows reduced blood loss and lesser pain. However, it widespread use is limited by the extensive learning curve and costs. AIM: To describe our standard technique with reduced use of robotic instruments. METHODS: We detail the steps involved in the procedure, including trocar placement, necessary robotic instruments, and meticulous surgical description. RESULTS: After standardizing the procedure, 28 patients were operated with this budget technique. For each procedure material used was: 1 (Xi model) or 2 disposable trocars (Si) and 4 robotic instruments. Stapling and clipping were performed by the assistant through an auxiliary port, limiting the use of robotic instruments and reducing the cost. CONCLUSION: This standardization helps implementing a robotic program for gastrectomy in the daily practice or in one`s institution.