Department of Surgery, Hospital Clinico San Carlos, Universidad Complutense, Madrid, Spain.
Int J Med Robot. 2012 Dec;8(4):491-5. doi: 10.1002/rcs.1456. Epub 2012 Aug 29.
Gastrointestinal stromal tumours (GISTs) are the most common mesenchymal tumours of the digestive tract. The most frequent site of occurrence is the stomach. Due to the high potential for malignancy of GIST, resection should be the first-line treatment. Minimally invasive surgery may be used for surgical resection of GISTs.
We describe a case of laparoscopic and robotic distal gastrectomy in a patient with diagnosis of GIST in the gastric antrum. Laparoscopy was useful for dissection and a da Vinci robot was used for Roux-en-Y reconstruction.
The postoperative course was uneventful.
Minimally invasive surgery offers benefits compared to open surgery, and laparoscopic and robot-assisted gastrectomy for the treatment of GIST could be technically feasible and safe because of the advantageous movements provided by the robotic arms.
胃肠道间质瘤（GIST）是消化道最常见的间叶性肿瘤。最常发生的部位是胃。由于 GIST 具有高度恶性潜能，因此切除应是首选治疗方法。微创手术可用于 GIST 的外科切除。
我们描述了一例腹腔镜和机器人辅助远端胃切除术的病例，患者诊断为胃窦部 GIST。腹腔镜用于解剖，达芬奇机器人用于 Roux-en-Y 重建。
术后过程顺利。
与开放性手术相比，微创手术具有优势，腹腔镜和机器人辅助胃切除术治疗 GIST 在技术上是可行和安全的，因为机器人手臂提供了有利的运动。
