Jiang Zhi-Wei, Liu Jiang, Wang Gang, Zhao Kun, Zhang Shu, Li Ning, Li Jie-Shou
Hepatogastroenterology. 2015 Mar-Apr;62(138):323-6.
BACKGROUND/AIMS: The aim of this study was to report on the feasibility of esophagojejunostomy reconstruction using a robot-sewing technique during a completely robotic total gastrectomy for gastric cancer.
Between May 2011 and July 2012, 65 patients in whom gastric adenocarcinoma was diagnosed underwent a completely robotic total gastrectomy, including a robot-sewing esophagojejunal anastomosis. We demonstrated the surgical techniques with analysis of clinicopathologic data and short-term surgical outcomes.
All robotic surgeries were successfully performed without conversion. Among the 65 patients, 46 were men and 19 were women. The mean age (± SD) was 57.8 ± 6.5 y. The mean total operative time (± SD), EJ anastomosis time (± SD), and blood loss (± SD) were 245 ± 53 min, 45 ± 26 min, and 75 ± 50 ml, respectively. The mean (± SD) post-operative hospital stay was 5.4 ± 2.5 d. One patient was readmitted for an intestinal obstruction and underwent re-operation 14 d post-operatively; he recovered uneventfully and was discharged 10 d post- operatively. During the follow-up, no patients developed an esophgojejunostomy stricture.
A robot-sewing anastomosis for esophagojejunostomy reconstruction during robotic total gastrectomy for gastric cancer is feasible. Indeed, a robot-sewing anastomosis for esophagojejunostomy reconstruction may become a standard surgical technique during completely robotic total gastrectomy for gastric cancer.
背景/目的：本研究旨在报告在完全机器人胃癌全胃切除术中使用机器人缝合技术进行食管空肠吻合重建的可行性。
2011年5月至2012年7月期间，65例被诊断为胃腺癌的患者接受了完全机器人胃癌全胃切除术，包括机器人缝合食管空肠吻合术。我们通过分析临床病理数据和短期手术结果展示了手术技术。
所有机器人手术均成功完成，无需中转。65例患者中，男性46例，女性19例。平均年龄（±标准差）为57.8±6.5岁。平均总手术时间（±标准差）、食管空肠吻合时间（±标准差）和失血量（±标准差）分别为245±53分钟、45±26分钟和75±50毫升。术后平均住院时间（±标准差）为5.4±2.5天。1例患者因肠梗阻再次入院，术后14天接受再次手术；他恢复顺利，术后10天出院。随访期间，无患者发生食管空肠吻合口狭窄。
在机器人胃癌全胃切除术中使用机器人缝合进行食管空肠吻合重建是可行的。实际上，机器人缝合食管空肠吻合重建可能会成为完全机器人胃癌全胃切除术中的标准手术技术。
