机器人胃切除术：技术标准化。
ROBOTIC GASTRECTOMY: TECHNIQUE STANDARDIZATION.
机构信息
Cancer Institute, Hospital das Clínicas, University of São Paulo, São Paulo, SP, Brazil.
出版信息
Arq Bras Cir Dig. 2021 Jan 15;33(3):e1542. doi: 10.1590/0102-672020200003e1542. eCollection 2021.
BACKGROUND
Trocars position for the Si model (position is similar for the Xi, although trocars stay more in line). Robotic gastrectomy is gaining popularity worldwide. It allows reduced blood loss and lesser pain. However, it widespread use is limited by the extensive learning curve and costs.
AIM
To describe our standard technique with reduced use of robotic instruments.
METHODS
We detail the steps involved in the procedure, including trocar placement, necessary robotic instruments, and meticulous surgical description.
RESULTS
After standardizing the procedure, 28 patients were operated with this budget technique. For each procedure material used was: 1 (Xi model) or 2 disposable trocars (Si) and 4 robotic instruments. Stapling and clipping were performed by the assistant through an auxiliary port, limiting the use of robotic instruments and reducing the cost.
CONCLUSION
This standardization helps implementing a robotic program for gastrectomy in the daily practice or in one`s institution.
背景
Si 模型的 Trocar 位置（Xi 也类似，尽管 Trocar 保持更直线）。机器人胃切除术在全球范围内越来越受欢迎。它允许减少出血和减轻疼痛。然而，由于广泛的学习曲线和成本限制，其广泛应用受到限制。
目的
描述我们使用较少机器人器械的标准技术。
方法
我们详细介绍了手术过程中的步骤，包括 Trocar 放置、必要的机器人器械以及精细的手术描述。
结果
在标准化手术程序后，28 名患者接受了这种预算技术的治疗。每次手术使用的材料为：1 个（Xi 模型）或 2 个一次性 Trocar（Si）和 4 个机器人器械。助手通过辅助端口进行吻合和夹闭，限制了机器人器械的使用并降低了成本。
结论
这种标准化有助于在日常实践或机构中实施机器人胃切除术计划。
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