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全机器人 Roux-en-Y 重建在胃癌胃切除术后:一种环重建技术。

Full robotic Roux-en-Y reconstruction after gastrectomy for gastric cancer: a loop reconstruction technique.

机构信息

Second Department of Surgery, Wakayama Medical University, 811-1, Kimiidera, Wakayama, 641-8510, Japan.

出版信息

Updates Surg. 2020 Dec;72(4):1279-1281. doi: 10.1007/s13304-020-00889-1. Epub 2020 Sep 15.

DOI:10.1007/s13304-020-00889-1
PMID:32930976
Abstract

A robotic approach with radical lymph node dissection for gastric cancers is a safe and effective surgical procedure. However, there are still only a few studies in the reconstruction procedure after gastrectomy and many aspects of the use of the robotic surgical system remain controversial. In Roux-en-Y reconstruction, most institutions are adapted for reconstruction using small laparotomy due to the complicated procedure. We, therefore, developed a new and easy procedure for full robotic Roux-en-Y reconstruction after robotic gastrectomy. We named this procedure "loop reconstruction technique". This article including video shows our loop reconstruction technique with an intracorporeal robot-sewn anastomosis after robotic gastrectomy.

摘要

机器人辅助根治性淋巴结清扫术治疗胃癌是一种安全有效的手术方法。然而,在胃癌根治术后的重建过程中,仍然只有少数研究,机器人手术系统的许多方面仍存在争议。在 Roux-en-Y 重建中,由于手术过程复杂,大多数机构都适应了使用小剖腹手术进行重建。因此,我们在机器人胃切除术后开发了一种新的、简单的全机器人 Roux-en-Y 重建方法。我们将此方法命名为“套圈重建技术”。本文包括视频,展示了我们在机器人胃切除术后进行机器人内置吻合的套圈重建技术。

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Full robotic Roux-en-Y reconstruction after gastrectomy for gastric cancer: a loop reconstruction technique.全机器人 Roux-en-Y 重建在胃癌胃切除术后:一种环重建技术。
Updates Surg. 2020 Dec;72(4):1279-1281. doi: 10.1007/s13304-020-00889-1. Epub 2020 Sep 15.
2
Assessing the safety and efficacy of full robotic gastrectomy with intracorporeal robot-sewn anastomosis for gastric cancer: A randomized clinical trial.评估全机器人胃癌根治术联合体内机器人缝合吻合术的安全性和有效性:一项随机临床试验。
J Surg Oncol. 2016 Mar;113(4):397-404. doi: 10.1002/jso.24146. Epub 2016 Jan 12.
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Robotic Total Gastrectomy With Intracorporeal Robot-Sewn Anastomosis: A Novel Approach Adopting the Double-Loop Reconstruction Method.机器人全胃切除术联合体内机器人缝合吻合术:一种采用双环重建方法的新术式
Medicine (Baltimore). 2015 Dec;94(49):e1922. doi: 10.1097/MD.0000000000001922.
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Laparoscopic Roux-en-Y reconstruction using conventional linear stapler in robotic total gastrectomy for gastric cancer.机器人全胃切除术中使用传统线性吻合器行腹腔镜 Roux-en-Y 重建治疗胃癌。
Surg Oncol. 2020 Jun;33:9-10. doi: 10.1016/j.suronc.2019.12.003. Epub 2019 Dec 19.
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[Robotic-assisted Distal Gastrectomy with D2 Lymphadenektomy and Roux-en-Y-reconstruction].机器人辅助远端胃切除术联合D2淋巴结清扫及Roux-en-Y重建术
Zentralbl Chir. 2024 Aug;149(4):345-347. doi: 10.1055/a-2207-3450. Epub 2024 Jan 23.
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Robotic digestive tract reconstruction after total gastrectomy for gastric cancer: a simple way to do it.胃癌全胃切除术后的机器人消化道重建:一种简便的方法
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Full robot-assisted gastrectomy with intracorporeal robot-sewn anastomosis produces satisfying outcomes.全机器人辅助胃切除术联合机器人内置吻合技术可获得满意的效果。
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[Technical difficulties and countermeasures of digestive tract reconstruction in robotic radical gastrectomy for gastric cancer].[机器人胃癌根治术中消化道重建的技术难点与对策]
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Robotic total gastrectomy with Roux-en-Y reconstruction for gastric cancer (with video).机器人辅助胃癌根治术联合Roux-en-Y重建术(附视频)
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New totally intracorporeal reconstructive approach after robotic total gastrectomy: Technical details and short-term outcomes.机器人全胃切除术后全新的完全经体内重建方法:技术细节和短期结果。
World J Gastroenterol. 2017 Jun 21;23(23):4293-4302. doi: 10.3748/wjg.v23.i23.4293.

引用本文的文献

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The integration of the intracorporeal triangular anastomotic technique in robotic distal gastrectomy: advancing patient safety and procedural simplicity.机器人辅助远端胃切除术中的腔内三角吻合技术的整合:提高患者安全性和操作简便性。
Surg Endosc. 2024 Sep;38(9):5474-5480. doi: 10.1007/s00464-024-11171-5. Epub 2024 Aug 12.
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Comparison of short-term surgical outcomes using da Vinci S, Si and Xi Surgical System for robotic gastric cancer surgery.达芬奇 S、Si 和 Xi 手术系统用于机器人胃癌手术的短期手术结果比较。
Sci Rep. 2021 May 26;11(1):11063. doi: 10.1038/s41598-021-90741-2.

本文引用的文献

1
Robotic radical lymphadenectomy without touching the pancreas during gastrectomy for gastric cancer.胃癌胃切除术中不接触胰腺的机器人根治性淋巴结清扫术。
Medicine (Baltimore). 2019 Mar;98(13):e15091. doi: 10.1097/MD.0000000000015091.
2
Full robot-assisted gastrectomy: surgical technique and preliminary experience from a single center.全机器人辅助胃癌根治术:单中心手术技术及初步经验
J Robot Surg. 2016 Dec;10(4):297-306. doi: 10.1007/s11701-016-0591-y. Epub 2016 May 13.
3
Classification of surgical complications: a new proposal with evaluation in a cohort of 6336 patients and results of a survey.
手术并发症的分类:一项在6336例患者队列中进行评估的新提议及一项调查结果
Ann Surg. 2004 Aug;240(2):205-13. doi: 10.1097/01.sla.0000133083.54934.ae.