Moriyama Hideki, Ishikawa Norihiko, Kawaguchi Masahiko, Hirose Koichi, Watanabe Go
Department of General and Cardiothoracic Surgery, Kanazawa University, Takara-machi, Kanazawa, Japan.
Surg Laparosc Endosc Percutan Tech. 2012 Jun;22(3):e155-6. doi: 10.1097/SLE.0b013e3182491ff6.
The feasibility of laparoscopic resection of gastrointestinal stromal tumors (GIST) has been demonstrated by many researchers, but the use of robotic surgery for gastric GIST has been reported only once.
We performed robot-assisted laparoscopic resection for a 74-year-old man diagnosed with a submucosal tumor in the posterior wall of the gastric corpus. The procedure was performed using the da Vinci Surgical System. The tumor was dissected using an electric knife with at least a 1- to 2-cm margin. The stomach was closed with the Albert-Lembert suture using Vicryl 3-0. The procedure was completed successfully in 190 minutes without perioperative complications.
Robot-assisted laparoscopic resection for gastric GIST is a safe and feasible technique. The da Vinci Surgical System simplifies resecting and suturing the stomach with an appropriate margin.
许多研究人员已证明腹腔镜切除胃肠道间质瘤（GIST）的可行性，但机器人手术用于胃GIST的报道仅有一例。
我们对一名74岁男性进行了机器人辅助腹腔镜切除术，该患者被诊断为胃体后壁黏膜下肿瘤。手术使用达芬奇手术系统进行。使用电刀将肿瘤切除，切缘至少1至2厘米。用3-0薇乔线采用阿尔贝-伦贝特缝合法关闭胃。手术在190分钟内成功完成，无围手术期并发症。
机器人辅助腹腔镜切除胃GIST是一种安全可行的技术。达芬奇手术系统简化了以适当切缘切除和缝合胃的操作。
