Jiang Zhi-wei, Li Jie-shou
Department of General Surgery, The Affiliated Jinling Hospital, Nanjing University Medical College, Nanjing, China.
Zhonghua Wei Chang Wai Ke Za Zhi. 2012 Aug;15(8):776-7.
Laparoscopic gastrectomy has not become a common procedure for gastric cancer due to the difficulties of performing D2 lymphadenectomy and reconstruction of digestive tract by the conventional laparoscopic instruments. The da Vinci system provides 3D visualization, enhanced magnification, and seven degrees of freedom of the instruments to suture and knot in the narrow surgical space, so it can perform totally robotic gastrectomy with D2 lymphadenectomy and robot-sewing anastomosis for reconstruction. Application of robotic system can expand the indications of minimally invasive surgery in treatment of gastric cancer. Combination fast-track surgery to optimize the perioperative management with the technique of minimally invasive surgery can enhance the recovery of surgical gastric cancer patients.
由于传统腹腔镜器械在进行D2淋巴结清扫和消化道重建方面存在困难，腹腔镜胃切除术尚未成为治疗胃癌的常见手术方式。达芬奇系统提供三维可视化、增强放大功能以及器械的七个自由度，以便在狭窄的手术空间内进行缝合和打结，因此它能够实施完全机器人辅助的胃切除术并进行D2淋巴结清扫以及机器人缝合吻合术以完成重建。机器人系统的应用可以扩大胃癌微创手术的适应证。将快速康复外科与微创手术技术相结合以优化围手术期管理，可促进胃癌手术患者的康复。
